Application of Electroacupuncture for Pain Management in Laparoscopic Cholecystectomy Patients
10.12259/j.issn.2095-610X.S20251008
- VernacularTitle:电针在腹腔镜胆囊切除术患者镇痛中的应用
- Author:
Jiaqi LIU
1
;
Haiqian ZHAO
;
Jianqing ZHANG
;
Ningli ZHANG
;
Jie OUYANG
;
Ying CHEN
Author Information
1. 昆明医科大学第二附属医院甲乳外科,云南 昆明 650032
- Keywords:
Electroacupuncture;
Laparoscopic cholecystectomy;
Enhanced recovery after surgery;
Postoperative analgesia
- From:
Journal of Kunming Medical University
2025;46(10):70-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of electroacupuncture in traditional Chinese medicine with the opioid adjuvant drug dezocine.Methods 122 patients undergoing elective laparoscopic cholecystectomy at the Second Affiliated Hospital of Kunming Medical University between October 12,2023,and April 05,2024,were randomly allocated into three groups:dezocine group(D group,n=40),electroacupuncture group(E group,n=42),and electroacupuncture combined with dezocine group(ED group,n=40).Patients received 10 mg dezocine,electroacupuncture,or electroacupuncture+10 mg dezocine after cholecystectomy.Pain threshold index(PTi),pain index(Pi),and visual analogue scale(VAS)scores were observed at different time points during surgery.Vital signs were recorded,and adverse reactions within 24 hours postoperatively were noted.Results There were no statistically significant differences in PTi among groups before electroacupuncture(T1)(P>0.05).At the end of electroacupuncture(T2)and after cholecystectomy(T3),the PTi values in the E and ED groups were lower than the D group(P<0.05).At the end of surgery(T4)and upon extubation(T5),the PTi values of all three groups reached a tolerable level for patients,with the E and D groups showing higher PTi values compared to the ED group(P<0.05).There were no statistically significant differences in postoperative pain scores(Pi)and VAS at various time points(P>0.05).Conclusion Electroacupuncture demonstrates analgesic efficacy non-inferior to opioid drugs and can be recommended as a postoperative pain management technique for laparoscopic cholecystectomy patients.