Effects of Buccal Acupuncture on Postoperative Analgesia in Elderly Patients Undergoing Laparoscopic Radical Gastrectomy: a Randomized Controlled Trial

Overview

Journal Front Neurol

Specialty Neurology

Date 2024 Jul 10

PMID 38984037

Authors

Dong-Xue Zhu

Yan-Ling Yang

Lei Yang

Yuan-Yuan Zhao

Ya-Yun Xie

Wei Wang

Jie Lv

Wan-You Yu

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to evaluate the efficacy and safety of buccal acupuncture on postoperative analgesia, perioperative stress response and adverse events in elderly patients undergoing laparoscopic radical gastrectomy.

Methods: It was a prospective, outcome assessor-blinded, randomized controlled trial, involving 90 patients aged 65-80 years who were treated with an elective laparoscopic radical gastrectomy. They were randomly assigned to buccal acupuncture group (Group B) and control group (Group C). Buccal acupuncture was applied to patients of Group B before the induction of general anesthesia, while no additional application was given to those in Group C. Patient-controlled intravenous analgesia (PCIA) with sufentanil was postoperatively performed in both groups. Sufentanil consumption and the Visual Analog Scale (VAS) score within 48 h postoperatively were assessed as primary outcomes. Secondary outcomes included peripheral levels of stress markers, intraoperative consumptions of anesthetic drugs and postoperative recovery.

Results: Patients in Group B presented significantly lower VAS scores within 24 h and less consumption of sufentanil within 48 h postoperatively (both < 0.01). The awaking time, time to extubation and length of stay were significantly shorter in Group B than in Group C ( = 0.005, 0.001 and 0.028, respectively). Compared with Group C, stress response and inflammatory response within 24 h postoperatively were also significantly milder in Group B.

Conclusion: The use of buccal acupuncture before general anesthesia induction favors the postoperative analgesic effect and recovery in elderly patients undergoing laparoscopic radical gastrectomy, the mechanism of which involves relieving postoperative stress response and inflammatory response.

Clinical Trial Registration: This study was registered in the Chinese Clinical Trial Registry (www.chictr.org.cn) on 15/06/2023 (ChiCTR2300072500).

Citing Articles

Buccal Acupuncture: a Potential Treatment for Postoperative Nausea and Vomiting in Patients Undergoing Metabolic and Bariatric Surgery.

Liu K, Chen Y, Yang W, Peng X Obes Surg. 2024; 34(11):4275-4276.

PMID: 39316260 DOI: 10.1007/s11695-024-07513-w.

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