个人中心| | 帮助
高级检索
当前位置： 首页 > 详情页

Transcutaneous electrical acupoint stimulation before surgery reduces chronic pain after mastectomy: A randomized clinical trial.

| 认领 | 导出 | |

文献详情

资源类型：
WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Zhihong Lu[1,*1] * ; Qiang Wang[2] ; Xude Sun[3] ; Wei Zhang[4] ; Su Min[5] ; Jiaqiang Zhang[6] ; Weixian Zhao[7] ; Jianfeng Jiang[1] ; Yonghui Wang[1] ; Yaomin Zhu[2] ; Lanlan Zheng[3] ; Ying Wang[4] ; Yuanyuan Guo[5] ; Liyuan Zhang[6] ; Lini Wang[1] ; Chong Lei[1] ; Tingting Liu[1] ; Xue Yang[1] ; Junbao Zhang[1] ; Chen Li[8] ; Nian Zhang[3] ; Hailong Dong[1] ; Lize Xiong[1,9,*2] ;
机构： [1]Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China [2]Department of Anesthesiology, First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China [3]Department of Anesthesiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710038, China [4]Department of Anesthesiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan 450052, China [5]Department of Anesthesiology, First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China [6]Department of Anesthesiology and Perioperative Medicine, People's Hospital of Zhengzhou University, Zhengzhou, Henan 450003, China [7]Department of Anesthesiology, Second Affiliated Hospital of Guangdong University of Traditional Chinese Medicine, Guangzhou, Guangdong 510120, China [8]Department of Medical Statistics, Fourth Military Medical University, Xi'an, Shaanxi 710032, China [9]Department of Anesthesiology and Perioperative Medicine, Translational Research Institute of Brain and Brain-Like Intelligence， Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China
出处：
DOI： 10.1016/j.jclinane.2021.110453
ISSN：

关键词： Postoperative pain Chronic pain Mastectomy Acupoint stimulation Combined acupoints

摘要：
Despite multiple interventions, the incidence of chronic pain after mastectomy could be as high as 50% after surgery. This study aimed to determine the efficacy of transcutaneous electrical acupoint stimulation (TEAS) before anesthesia induction in reducing chronic pain and to compare the effect of combined acupoint TEAS with that of single acupoint TEAS.A multicenter randomized clinical trial.The study was conducted at six medical centers in China from May 2016 to April 2018. Final follow-up was on October 26, 2018.Eligible patients were women scheduled for radical mastectomy under general anesthesia.Patients were randomly and equally grouped into sham control (n = 188), single acupoint (PC6, n = 198), or combined acupoints (PC6 and CV17, n = 190) TEAS groups using a centralized computer-generated randomization system. TEAS was applied for 30 min before anesthesia induction. The sham-operated control group received electrode attachment but without stimulation. Anesthesiologists, surgeons, and outcome assessors were blinded to the interventions.The primary endpoint was the incidence of chronic pain 6 months after surgery. Incidences were compared among the groups using the unadjusted χ2 test.Of the 576 randomized patients, 568 completed the trial. In the intention-to-treat analysis, post-mastectomy pain at 6 months was reported in 42 of 190 patients (22.1%) in the combined acupoints group, 65 of 188 patients (34.6%) in the sham-operated group (P = 0.007; relative risk [RR], 95% confidence interval [CI]: 0.68, 0.52-0.89), and 72 of 198 patients (36.4%) in the single acupoint group (P = 0.002; RR, 95% CI: 0.72, 0.55-0.93). Remifentanil consumption during surgery and postoperative nausea and vomiting at 24 h after surgery were lower in the combined acupoint group than that in the sham-operated group.TEAS at combined acupoints before surgery was associated with reduced chronic pain 6 months after surgery.Clinicaltrials.gov identifier: NCT02741726. Registered on April 13, 2016.Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

基金：
This work was supported by the National Key Basic Research Program of China (No. 2014CB543200), the Overseas, Hong Kong & Macao Scholars Collaborative Researching Fund (No. 81228022), Major Program of National Natural Science Foundation of China (No. 81590954), the National Natural Science Foundation of China (No. 81730032, 81871028) and the Natural Science Foundation of Shaanxi Province (No. 2018SF-277).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2020]版：
大类 | 2 区 医学
小类 | 2 区 麻醉学
最新[2025]版：
大类 | 2 区 医学
小类 | 2 区 麻醉学
JCR分区：
出版当年[2019]版：
Q1 ANESTHESIOLOGY
最新[2023]版：
Q1 ANESTHESIOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者：
第一作者机构： [1]Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China [*1]Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Changle West Rd 127, Xi'an, Shaanxi 710032, China.
通讯作者：
通讯机构： [1]Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China [9]Department of Anesthesiology and Perioperative Medicine, Translational Research Institute of Brain and Brain-Like Intelligence， Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine, Shanghai 200434, China [*1]Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Changle West Rd 127, Xi'an, Shaanxi 710032, China. [*2]Department of Anesthesiology and Perioperative Medicine, Translational Research Institute of Brain and Brain-Like Intelligence， Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine, Sanmen Road 1279, Hongkou District, Shanghai 200434, China.
推荐引用方式(GB/T 7714)：
Zhihong Lu,Qiang Wang,Xude Sun,et al.Transcutaneous electrical acupoint stimulation before surgery reduces chronic pain after mastectomy: A randomized clinical trial.[J].JOURNAL OF CLINICAL ANESTHESIA.2021,74:doi:10.1016/j.jclinane.2021.110453.
APA：
Zhihong Lu,Qiang Wang,Xude Sun,Wei Zhang,Su Min...&Lize Xiong.(2021).Transcutaneous electrical acupoint stimulation before surgery reduces chronic pain after mastectomy: A randomized clinical trial..JOURNAL OF CLINICAL ANESTHESIA,74,
MLA：
Zhihong Lu,et al."Transcutaneous electrical acupoint stimulation before surgery reduces chronic pain after mastectomy: A randomized clinical trial.".JOURNAL OF CLINICAL ANESTHESIA 74.(2021)

相关文献

[1]中医临床名词术语 第2部分：外科学 [2]中医临床名词术语 第6部分：妇科学 [3]四逆汤对大鼠肠缺血再灌注后肠粘膜细胞凋亡的影响及神经酰胺机制 [4]利多卡因胶带皮肤镇痛作用探讨 [5]祛斑合剂治疗黄褐斑43例-附对照组25例 [6]庆大霉素致急性肾功能衰竭2例报告 [7]基于早期乳腺癌分期辨证规范化研究探索中医疾病诊疗规范化研究的方法学 [8]罗笑容教授治疗小儿流行性腮腺炎临证经验 [9]网络环境下wpbl教学法在临床护理带教中的应用研究进展 [10]从学术传承角度探讨孟河费氏流派对湿证的认识和发展

资源点击量：2022 今日访问量：0 总访问量：648 更新日期：2024-07-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 广东省中医院 技术支持：重庆聚合科技有限公司 地址：广州市越秀区大德路111号