Effectiveness and safety of electroacupuncture analgesia in controlling intraoperative pain and hemodynamics during total thyroidectomy:A randomized controlled trial  

作　　者：Dong Phuong Tran Quoc Dung Nguyen Ninh Khac Nguyen Van Hong Pham 

机构地区：[1]Senior Specialist Clinic,National Hospital of Acupuncture,Hanoi,10000,Vietnam [2]Vietnam National Association of Acupuncture,Hanoi,10000,Vietnam [3]Department of Training and Science,National Hospital of Acupuncture,Hanoi,10000,Vietnam

出　　处：《Journal of Traditional Chinese Medical Sciences》2024年第2期165-171,共7页中医科学杂志（英文）

摘　　要：Objective:To evaluate the effectiveness and safety of electroacupuncture in conjunction with additional medications in providing analgesia and stabilizing hemodynamic parameters during total thyroidectomy.Methods:This randomized controlled trial included 100 patients who underwent a total thyroidectomy between October 2022 and October 2023 at the Vietnam National Hospital of Acupuncture.The patients were randomized into two groups.The electroacupuncture analgesia(EA)group received EA stimulation at five acupuncture points:Hegu(LI 4),Neiguan(PC 6),Shuitu(ST 10),Quepen(ST 12),and Yifeng(SJ 17),while the control group received a bilateral superficial cervical plexus block.Primary outcomes included the level of analgesia and perioperative vital signs in both groups.Additionally,pain thresholds and serum b-endorphin levels were measured before and after electroacupuncture in the EA group.Results:Complete analgesia(Level A)was attained in 86%and 76%of the patients in the EA and control groups,respectively,with no significant difference between the two groups(P=1.00).In the EA group,the mean pain threshold after receiving EA doubled(648.7(77.4)g/s vs.305.3(45.3)g/s,P<.001),and the mean serum b-endorphin level increased by approximately 13.5 pg/mL(P<.001).All patients remained hemodynamically stable throughout the surgery.Conclusion:EA,in conjunction with additional medications that stimulate five acupuncture points,LI 4,PC 6,ST 10,ST 12,and SJ 17,was well tolerated and effectively maintained a suitable level of analgesia and hemodynamic stability during total thyroidectomy.

关 键 词：ELECTROACUPUNCTURE Acupuncture analgesia Graves'disease THYROIDECTOMY Thyroid surgery Β-ENDORPHIN 

分 类 号：R246.2[医药卫生—针灸推拿学]