The effect of buccal acupuncture therapy on postoperative analgesia and rehabilitation in patients undergoing rotator cuff repair
HUANG Chaoqun, ZHANG Yu, LIN Jiayu, TU Yahui, ZHUANG Jinfei,ZHANG Xutong, LI Jun.
Department of Anesthesiology and Perioperative Medicine, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325027, China
HUANG Chaoqun,ZHANG Yu,LIN Jiayu, et al. The effect of buccal acupuncture therapy on postoperative analgesia and rehabilitation in patients undergoing rotator cuff repair[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(3): 205-210，216.
Abstract：Objective: To observe the effect of buccal acupuncture therapy on postoperative analgesia and rehabilitation in patients with rotator cuff repair. Methods: A total of 140 patients of both sexes, ASA rade IIII,who were scheduled for elective surgery due to rotator cuff injury in our hospital were selected. All patients underwent shoulder arthroscopic rotator cuff repair under unified general anesthesia combined with brachial plexus block. According to the postoperative analgesia protocol, the patients were randomly divided into control group (group A, patient-controlled intravenous analgesia pump used alone) and buccal acupuncture combined with PCIA group (group CA), with 70 cases in each group. The rest and exercise VAS scores at 6, 12, 24 and 48 h post-operation, analgesic consumption and quality of recovery scores (QoR-40 items, ADL score, Barthel index) within 48 h post-operation, ASES score, Constant-Murley shoulder function score and PSQI score three months after surgery were compared between the two groups. Results: Compared with group A, the rest and exercise VAS scores at 6, 12, 24 and 48 h post-operation were significantly decreased (P<0.05), the PCIA analgesia-related adverse reactions significantly decreased (21.0% vs. 40.3%, P<0.05), and QoR-40 items, Barthel index and degree of satisfaction at 48 h were significantly increased (P<0.05). However, there were no significant differences in analgesic dosage, ADL score and Barthel index within 48 hours post-operation, sleep quality (PSQI score), Constant-Murley shoulder function score and ASES score 3 months after surgery between the two groups (P>0.05). Conclusion: Buccal acupuncture can enhance the analgesic effect of PCIA, reduce the adverse reactions to analgesia, and significantly improve the patient’s recovery quality and satisfaction of 48 h after undergoing rotator cuff repair.
