Application and evaluation of acupuncture anesthesia and analgesia pump in post-operative analgesia of shoulder surgery

YU Xiaoyan; LIU Yang; GU Xiaohui; XU Xu; SHEN Shuai; ZHU Wei

doi:10.3981/j.issn.1000-7857.2023.03.004

PDF(581 KB)

Science & Technology Review ›› 2023, Vol. 41 ›› Issue (3) : 44-50. DOI: 10.3981/j.issn.1000-7857.2023.03.004

Exclusive: Development and Application of Traditional Chinese Medicine

Application and evaluation of acupuncture anesthesia and analgesia pump in post-operative analgesia of shoulder surgery

Author information -

1. The Affiliated Suqian First People's Hospital of Nanjing Medical University, Suqian 223812, China
2. The First Clinical Medical College of Nanjing Medical University, Nanjing 211103, China

Abstract

Post-operative pain management for shoulder surgery is closely related to the complications and early functional rehabilitation. The purpose of this study is to compare and evaluate the efficacy and safety of acupuncture anesthesia and subacromial self-controlled anesthesia pump in the postoperative analgesia for patients undergoing shoulder surgery. The indicators included the pain visual analog score (VAS), shoulder range of motion (ROM), Lovett muscle strength grade, etc. The results showed that the incidence of gastrointestinal adverse reactions (7/64), recurrence rate of basic diseases (4/64), and overall adverse reaction rate (16/64) in the analgesia pump group were higher than those of the acupuncture group (0/70) (0/70) (4/70). In mild pain patients, there was no difference in VAS between the two groups but the ROM of the acupuncture group was larger. In moderate and severe patients, VAS of the analgesia pump group was lower, but no difference in ROM and shoulder muscle strength between the two groups. It suggests that acupuncture anesthesia has superior safety and is good for rehabilitation, which is especially suitable for mild pain patients as well as the moderate to severe pain patients who are complicated with related basic medical diseases.

Key words

shoulder surgery / acupuncture anesthesia / sub-acromial anesthesia pump / postoperative analgesia

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YU Xiaoyan, LIU Yang, GU Xiaohui, XU Xu, SHEN Shuai, ZHU Wei. Application and evaluation of acupuncture anesthesia and analgesia pump in post-operative analgesia of shoulder surgery[J]. Science & Technology Review, 2023, 41(3): 44-50 https://doi.org/10.3981/j.issn.1000-7857.2023.03.004

References

[1] 韩济生. 针麻镇痛研究[J]. 针刺研究, 2016, 41(5): 377-387.
[2] 国家中医药管理局科技司.“九五”以来针灸学科发展报告（1996-2007年）[R]. 北京:中国中西医结合学会, 2008.
[3] 朱兵. 针灸的科学基础: 第5版[M]. 青岛: 青岛出版社, 2014: 227.
[4] Lee S M, Park S E, Nam Y S, et al. Analgesic effectiveness of nerve block in shoulder arthroscopy: Comparison between interscalene, suprascapular and axillary nerve blocks[J]. Knee Surgery Sports Traumatology Arthroscopy, 2012, 20(12): 2573-2578.
[5] 李金峰, 王成立, 陈伯健, 等. 肩关节镜引导肩峰下镇痛泵与静脉镇痛泵镇痛效果的比较[J]. 广东药科大学学报, 2020, 36(4): 574-576.
[6] 陈健祥, 陈文明. "肩三针"针灸,手法松解及理疗综合治疗慢性期肩周炎的效果及对患者关节功能和疼痛程度的影响[J]. 内蒙古中医药, 2021, 40(12): 88-90.
[7] 赵振峰, 辛宁, 范文双. 针刺麻醉下二步法快速治疗肩关节周围炎[J]. 中国临床康复, 2004, 8(26): 5664.
[8] 薛森林. 针刺合谷穴作肩、肘关节脱位整复的麻醉[J]. 人民军医, 1965(7): 43.
[9] 李伟, 张文涛, 江长青,等. 肩峰下镇痛泵联合氟比洛芬酯用于肩关节镜术后镇痛的随机对照研究[J].中国微创外科杂志, 2017, 17(8): 691-694.
[10] [10] 刘畅, 樊碧发, 谢广伦. 自控镇痛技术在癌痛治疗中的应用[J].中华医学杂志, 2020, 100(37): 2954-2957.
[11] 谢梦琳, 雒成林, 冯鹏. 针刺麻醉在甲状腺手术中的应用研究进展[J].针刺研究, 2021, 46(2): 168-171.
[12] 何吉庆, 裘雅芬, 俎德学,等.剖宫产产妇疼痛视觉模拟评分及血浆皮质醇与其焦虑抑郁状态研究[J].中国预防医学杂志, 2018, 19(11): 871-872.
[13] 胡艳群, 李斌, 王蛟颜, 等.短期虚拟现实康复训练联合认知干预对老年脑卒中偏瘫患者运动功能、Lovett肌力分级及生存质量的影响分析[J].中国医学前沿杂志(电子版), 2018, 10(8): 97-101.
[14] 李珊珊, 吴君怡, 徐世芬. 针刺麻醉镇痛的临床研究进展[J]. 世界科学技术: 中医药现代化, 2019, 21(12): 2831-2837.
[15] 田职瑜, 龙安国. 温针灸联合功能锻炼治疗肩周炎的meta分析[J]. 中国医药科学, 2022, 12(6): 61-64.
[16] 杨妍蓉.针刺复合小剂量硬膜外麻醉应用于老年下肢骨科手术的临床效果研究[J]. 中国医学创新, 2019, 16(32): 18-22.
[17] 刘智辉.针刺麻醉结合瑞芬太尼用于锁骨骨折手术效果观察[J]. 河南外科学杂志, 2014, 20(6): 60-61.
[18] Vickers A J, Rusch V W, Malhotra V T, et al. Acupuncture is a feasible treatment for post-thoracotomy pain: Results of a prospective pilot trial[J]. BMC Anesthesiology, 2006, 6: 5.
[19] 吕国蔚.穴位传入与针刺镇痛的基础与临床研究[J]. 神经解剖学杂志, 2016, 32(1): 119-123.
[20] 汪维, 李超, 马伟巍,等.针刺麻醉在骨伤科手术中的应用研究进展[J]. 中国中西医结合外科杂志, 2018, 24(1): 115-117.
[21] 关翔鑫. 温针灸法治疗肩周炎临床疗效观察[J]. 中国实用医药, 2018, 13(15): 76-77.
[22] Waki H, Suzuki T, Tanaka Y, et al. Effects of electroacupuncture to the trigeminal nerve area on the autonomic nervous system and cerebral blood flow in the prefrontal cortex[J]. Acupuncture in Medicine, 2017, 35(5): 2016- 011247.
[23] 刘黎明, 王爱, 万青, 等.针灸配合颈丛麻醉在单侧甲状腺手术中的应用效果观察[J]. 中国中医药科技, 2019, 26(6): 952-953.
[24] Xu B, Ren L, Tu W, et al. Continuous wound infusion of ropivacaine for the control of pain after thoracolumbar spinal surgery: A randomized clinical trial[J]. European Spine Journal, 2015, 32(7): 571-578.
[25] Cho C H, Song K S, Min B W, et al. Efficacy of interscalene block combined with multimodal pain control for postoperative analgesia after rotator cuff repair[J]. Knee Surgery Sports Traumatology Arthroscopy, 2015, 23(2): 542-547.
[26] 王翘楚. 从针麻研究得到的启示[J]. 针刺研究, 2003, 22(5): 35-38.