Effect of Acupoint Sticking plus Cervical Plexus Block Anesthesia on Post-operative Pain after Subtotal Thyroidectomy
	    		
		   		
		   			
		   		
	    	
    	 
    	10.13460/j.issn.1005-0957.2016.01.0041
   		
        
        	
        		- VernacularTitle:穴位贴敷配合颈丛阻滞麻醉对甲状腺切除术后疼痛的影响
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Luping PAN
			        		
			        		;
		        		
		        		
		        		
			        		Yu YANG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Acupoint sticking;
			        		
			        		
			        		
				        		Pain,Post-operative;
			        		
			        		
			        		
				        		Cervical plexus block;
			        		
			        		
			        		
				        		Thyroidectomy;
			        		
			        		
			        		
				        		Acupuncture analgesia
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Shanghai Journal of Acupuncture and Moxibustion
	            		
	            		 2016;(1):41-42
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To observe the effect of acupoint sticking plus cervical plexus block anesthesia on post-operative pain in patients undergone subtotal thyroidectomy.Method Sixty patients who were going to receive unilateral subtotal thyroidectomy were randomized into group A and group B, 30 cases in each group. Group A was intervened by acupoint sticking plus cervical plexus block anesthesia, while group B was by cervical plexus block anesthesia alone. The Visual Analogue Scale (VAS) scores under static and swallowing condition were recorded at 6 h, 12 h, 24 h, and 48 h after the operation. Tramadol hydrochloride tablets were given to help cease pain when static incision VAS>3, and the total dose and adverse reactions in 48 h after the operation were recorded.Result There were no significant differences in comparing the VAS scores at static and swallowing status between the two groups at 6 h, 12 h, 24 h, and 48 h after the operation (P>0.05). The total dose of Tramadol hydrochloride tablets used in 48 h after the operation was (110±55)mg in group A, versus (210±48)mg in group B, and the difference was statistically significant (P<0.05). There was a significant difference in comparing the occurrence rate of adverse events in 48 h after the operation between the two groups (P<0.05).Conclusion Acupoint sticking plus cervical plexus block anesthesia can effectively alleviate the pain after subtotal thyroidectomy, reduce the use of analgesics in 48 h after the operation, and lower the occurrence rate of post-operative adverse events.