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Journal of Integrative Medicine

   

Using a consensus acupoints regimen to explore the relationship between acupuncture sensation and lumbar spinal postoperative analgesia: A retrospective analysis of prospective clinical cooperation

Yen-Lin Chao a, Yi-Ai Rau a, Hong-Sheng Shiue b, Jiun-Lin Yan b,c, Yuan-Yun Tang d, Shao-Wen Yu a, Bo-Yan Yeh a, Yen-Lung Chen a, Tsung-Hsien Yang d, Shu-Chen Cheng a, Yi-Wen Hsieh a, Hsin-Chia Huang a, Fu-Kuang Tsai a, Yu-Sheng Chen a,b, Geng-Hao Liu a,b,e   

  1. a Division of Acupuncture and Moxibustion, Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan, China
    b School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan, China
    c Department of Neurosurgery, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan, China
    d Department of Traditional Chinese Medicine, New Taipei Municipal TuCheng Hospital, Chang Gung Memorial Hospital, New Taipei 236, Taiwan, China
    e Sleep Center, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan, China
  • Received:2021-06-10 Accepted:2022-01-31 Published:2022-04-12
  • Contact: Geng-Hao Liu E-mail:ghliu.wis@gmail.com

Objective
This study evaluated the effectiveness of acupuncture treatment on postoperative pain in patients with degenerative lumbar spine disease, and explored the relationship between the postoperative analgesic effect of acupuncture and the sensation of acupuncture experienced by the patients.

Methods
This retrospective study analyzed the medical records of 97 patients who had undergone an operation by the same surgeon due to degenerative lumbar disease. These patients were divided into acupuncture group (n = 32), patient-controlled analgesia (PCA) group (n = 27), and oral analgesia group (n = 38) according to the different postoperative analgesic methods. During their hospitalization, patients completed daily evaluations of their pain using a visual analogue scale (VAS), and injection times of supplemental meperidine were recorded. Also, the Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scale (C-MASS) was used in the acupuncture group.

Results
Each of the three treatment groups showed significant reductions in postoperative pain, as shown by reduced VAS scores. The acupuncture group, however, had less rebound pain (P < 0.05) than the other two groups. Both the acupuncture and PCA groups experienced acute analgesic effects that were superior to those in the oral analgesia group. In addition, the higher the C-MASS index on the second day after surgery, the lower the VAS score on the fourth day after surgery. There was also a significant difference in the “dull pain” in the acupuncture sensation.

Conclusion
The results demonstrated that acupuncture was beneficial for postoperative pain and discomfort after simple surgery for degenerative spinal disease. It is worth noting that there was a disproportionate relevance between the patient’s acupuncture sensation and the improvement of pain VAS score.


Key words: Acupuncture analgesia, Postoperative period, Neurodegenerative diseases, Lumbosacral region, Acupuncture sensation, De-qi

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