Study on Analgesic Effect of Ankle Acupuncture Combined with Timing Ear-point Pressure Pill after Thoracic Surgery
WEI Huicong
ZHAO Qin
LI Chan
ZHAO Liang
WEN Mengsha
Abstract：Objective To explore the analgesic effect of ankle acupuncture combined with timing ear acupoint press-ing pills for postoperative thoracic surgery.Methods A prospective selection of 130 patients receiving thoracic surgery admit-ted from January 2020 to December 2022 was conducted.They were divided into three groups using a random number table method.Group A consisted of 44 patients who received ankle acupuncture combined with timing ear acupoint pressing pills,group B consisted of 43 patients who received ankle acupuncture,and group C consisted of 43 patients who received timing ear acupoint pressing pills.Visual analogue scale(VAS)scores,number of patient-controlled intravenous analgesia(PCIA)compression,and pain mediators[5-hydroxytryptamine(5-HT),prostaglandin E2(PGE2),β-Endorphin(β-EP)],respira-tory function indicators[arterial oxygen pressure(PaO2),arterial carbon dioxide pressure(PaCO2),oxygenation index(OI)],Pittsburgh Sleep Quality Index(PSQI)score,Hospital Anxiety and Depression Scale(HAD)score,incidence of ad-verse events,and comfort level were compared among the three groups.Results At 3 and 7 d after surgery,VAS scores at rest and movement,PaCO2,serum 5-HT,and PGE2 levels were lower in group A than in group B and group C,while PaO2,OI,and β-EP were higher than those of group B and group C(P＜0.05).At 7 d after surgery,the PSQI and HAD scores of group A were lower than those of group B and group C(P＜0.05).The comfort level of group A was better than that of group B and group C,while the number of PCIA administration was less than that of group B and group C(P＜0.05).There was no statistically significant difference in comfort level and the number of PCIA administration between group B and group C(P＞0.05).There was no statistically significant difference in the incidence of adverse events among the three groups(P＞0.05).Conclusion The combination of ankle acupuncture and timing ear acupoint pressure pills has a definite analgesic effect after thoracic surgery.It can alleviate negative emotions,enhance comfort,and improve sleep and respiratory function,and the mechanism may be related to regulation of pain mediators.
Keywords：Thoracic surgeryAnalgesiaAuricular point therapyAnkle needleProstaglandin E2Oxygenation in-dexPittsburgh sleep quality indexHospital anxiety and depression scale
Publication Date：2024-01-22
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 118-123 )