Postoperative pain following intraoperative acupuncture: a randomized‑controlled study.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2025-06-19 DOI:10.1136/spcare-2025-005485

Yakir Segev, Sereen Abofol, Noah Samuels, Meirav Schmidt, Wisam Assaf, Eran Ben-Arye

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引用次数: 0

Abstract

Context and objectives: This study examined the impact of an integrative oncology intervention on postoperative care, primarily postoperative pain, in patients undergoing gynaecological oncology surgery.

Methods: Participants were randomised to three groups: group A, preoperative touch/relaxation modalities, followed by intraoperative acupuncture; group B, preoperative touch/relaxation only and group C, standard conventional care alone. Using an enhanced recovery after surgery (ERAS) protocol, medical personnel retrospectively assessed pain on each postoperative day (POD), using a Visual Analogue Scale (VAS; 0, no pain; 10, most severe pain). Use of analgesics, bowel movements, urination and number of days until discharge were also assessed.

Results: A total of 102 patients participated, with similar baseline demographic and surgery-related characteristics among the three groups (group A, 45; group B, 25 and group C, 32). Group A patients undergoing laparoscopic surgery reported significantly lower pain scores on POD1 than group C (p=0.018). Group B patients undergoing open laparotomy were discharged earlier than group C (p=0.031). No significant between-group differences were found for VAS pain scales, use of analgesics or report of first postoperative bowel movement or urination.

Conclusions: This prospective, controlled and pragmatic ERAS-based study suggests that intraoperative acupuncture may reduce postoperative pain on POD1, in patients undergoing laparoscopic gynaecological oncology surgery. The findings differ from a previous study which found no effect of acupuncture on pain-related haemodynamic parameters during laparoscopy. Further research using objective nociception parameters is needed to explore the effect of intraoperative acupuncture on postoperative pain.

Trial registration number: ClinicalTrials.gov (NCT03560388).

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术中针灸术后疼痛：一项随机对照研究。

背景和目的：本研究探讨了综合肿瘤学干预对妇科肿瘤手术患者术后护理的影响，主要是术后疼痛。方法：参与者随机分为三组：A组，术前触摸/放松方式，随后术中针灸；B组术前仅触摸/放松，C组仅进行标准常规护理。采用术后增强恢复（ERAS）方案，医务人员回顾性评估术后每天（POD）的疼痛，使用视觉模拟量表(VAS；0、没有痛苦；10、最剧烈的疼痛)。镇痛药的使用、排便、排尿和出院天数也被评估。结果：共有102例患者参与，三组患者具有相似的基线人口统计学和手术相关特征(A组，45例；B组25例，C组32例)。A组腹腔镜手术患者的POD1疼痛评分明显低于C组（p=0.018）。B组开腹手术患者出院时间早于C组（p=0.031）。在VAS疼痛量表、镇痛药的使用或术后首次排便或排尿报告方面，两组间无显著差异。结论：这项前瞻性、对照和实用的基于erass的研究表明，术中针灸可以减轻腹腔镜妇科肿瘤手术患者术后POD1疼痛。这一发现与之前的一项研究不同，该研究发现针灸对腹腔镜手术中疼痛相关的血流动力学参数没有影响。术中针刺对术后疼痛的影响有待于进一步的客观伤害感觉参数研究。试验注册号：ClinicalTrials.gov （NCT03560388）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.