Effect of Acupuncture as Adjuvant Therapy on Postoperative Rehabilitation and Complications of Gynecological Laparoscopic Surgery Under General Anesthesia

NING Fenghua; JIA Peng; SONG Meimei

doi:10.3969/j.issn.1002-3429.2024.20.014

Abstract：Objective To investigate the effect of acupuncture as adjuvant therapy on postoperative rehabilitation and complications of gynecological laparoscopic surgery under general anesthesia,to improve therapeutic efficacy and surgical safe-ty.Methods A total of 100 patients undergoing gynecological laparoscopic surgery under general anesthesia treated from February 2022 to February 2024 were selected and divided into the acupuncture group(n=50)and the conventional group(n=50)by random number table method.The conventional group received conventional intervention after surgery,while the acupuncture group received needle-assisted intervention on the basis of the conventional group.All patients were treated until discharge.After intervention,the therapeutic effect of patients,the postoperative recovery conditions[postoperative exhaust time,postoperative defecation time,pain duration,incision healing time,the first time of off-bed activity after surgery,dura-tion of postoperative hospitalization],visual analogue scale(VAS)pain score at the end of surgery,1 day after surgery,and 3 days after surgery,as well as traditional Chinese medicine(TCM)syndrome integrals and incidence of postoperative compli-cations before and after intervention,were compared between the conventional group and the acupuncture group.Results The total effective rate of acupuncture group was higher than that of conventional group(P＜0.05).After intervention,the postoperative exhaust time,postoperative defecation time,pain duration,incision healing time,the first time of off-bed activi-ty after surgery and duration of postoperative hospitalization in acupuncture group were all shorter than those in conventional group(P＜0.01).At 1 d after surgery,the VAS pain score of acupuncture group was lower than that of conventional group(P＜0.05).After intervention,the TCM syndrome integrals of both groups were decreased,which were lower in acupuncture group than in conventional group(P＜0.05,P＜0.01).After intervention,the total incidence of postoperative complications in acupuncture group was lower than that in conventional group(P＜0.05).Conclusion Acupuncture assisted treatment can effectively promote the postoperative rehabilitation of patients undergoing gynecological laparoscopic surgery under general an-esthesia,reduce the postoperative pain,improve the TCM symptoms,reduce the incidence of postoperative complications and improve surgical safety.