Effect of auricular point pressing therapy on postoperative pain of fracture

Yin, Zhe; Zhang, Wenjun; Zeng, Yi Xin; Shen, Xi

doi:10.1097/md.0000000000023696

Cited by 4 publications

(6 citation statements)

References 22 publications

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“…After removing duplications, the titles and abstracts of 267 trails were further evaluated. Next, the full texts of the remaining 21 records were assessed, and 14 trails were fnalized for inclusion in our meta-analysis [20][21][22][23][24][25][26][27][28][29][30][31][32][33]. 2022.…”

Section: Resultsmentioning

confidence: 99%

Clinical Effects and Safety of Auricular Acupressure as an Adjunct Therapy on Postoperative Pain among Patients with Hip Fracture: A Meta-Analysis

Пин

Chen

et al. 2023

Pain Research and Management

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Objectives. To evaluate the short-term outcome of treatment by auricular acupressure (AA) on postoperative pain among hip fracture (HF) patients. Methods. A systematic search for randomized controlled trials on this topic was conducted through May 2022 by searching multiple English and Chinese databases. The methodological quality of the included trails was assessed by the Cochrane Handbook tool, and relevant data were extracted and statistically analyzed by RevMan 5.4.1 software. The quality of the evidence supporting each outcome was evaluated by GRADEpro GDT. Results. Fourteen trials with a total of 1390 participants were included in this study. Compared with conventional treatment (CT) alone, the combination of AA and CT had a significantly greater effect on the visual analog scale at 12 h (MD −0.53, 95% CI −0.77 to −0.30), 24 h (MD −0.59, 95% CI −0.92 to −0.25), 36 h (MD −0.07, 95% CI −0.13 to −0.02), 48 h (MD −0.52, 95% CI −0.97 to −0.08), and 72 h (MD −0.72, 95% CI −1.02 to −0.42), amount of analgesics used (MD −12.35, 95% CI −14.21 to −10.48), Harris Hip Score (MD 6.58, 95% CI 3.60 to 9.56), effective rate (OR 6.37, 95% CI 2.68 to 15.15), and adverse events (OR 0.35, 95% CI 0.17 to 0.71). Conclusions. Compared with CT alone, the combination of AA and CRT had a significantly greater effect on postoperative pain in HF patients. However, trails with a rigorous methodology, including standard protocols for AA and multiethnic subjects, are still needed.

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Section: Resultsmentioning

confidence: 99%

Clinical Effects and Safety of Auricular Acupressure as an Adjunct Therapy on Postoperative Pain among Patients with Hip Fracture: A Meta-Analysis

Пин

Chen

et al. 2023

Pain Research and Management

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“…As a kind of green complementary and alternative therapy, auricular acupuncture therapy has a good analgesic effect during the perioperative period and has been widely used in gynecology, orthopedics, anorectal, and other fields (10). According to the theory of bioholography, the close association between auricular acupoints and zangfu-meridians is the basis for the clinical treatment of pain (11).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have found that acupuncture is primarily used to treat pain, and acupuncture has significant effects on pain relief, with high safety and few side effects (8,9). A previous meta-analysis demonstrated that auricular point pressing, a traditional acupuncture therapy, combined with conventional analgesia can effectively relieve postoperative pain and reduce the consumption of different types of analgesic drugs (10). According to the theory of bioholography, the auricle forms a holographic reflex path from the homologically connected neurons in the brain and acts through the holographic connection of neurons in the brain (11).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and safety of auricular acupuncture on adjuvant analgesia in patients with total knee arthroplasty: a randomized sham-controlled trial

Zhang,

Chen,

et al. 2024

Front. Neurol.

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ObjectiveThis study aimed to evaluate the effectiveness and safety of auricular acupuncture (AA) on postoperative analgesia, the degree of postoperative nausea, and the effect of inflammation after total knee arthroplasty (TKA).MethodsThis was a single-center, placebo-controlled, randomized clinical trial. In total, 96 patients were randomly divided into an AA group with an indwelling intradermal needle (n = 48) and a sham auricular acupuncture (SAA) group with a non-penetrating placebo needle (n = 48). Intra-spinal anesthesia was adopted in both groups during surgery, and an epidural analgesic pump was implanted after surgery for 48 h. The primary outcome was the post-surgery visual analog score (VAS) of resting and movement states (at 6, 12 h and 1, 2, 3, 5, and 7 days). The secondary outcomes included additional doses of analgesic injection during the treatment, C-reactive protein (CRP) levels, erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count on the 1st, 3rd, and 7th day after the operation, nausea on the 1st, 2nd, and 3rd day after the operation, the Hospital for Special Surgery Knee Score (HSS) on the 2nd and 12th week after the operation, and adverse events.ResultsThe VAS in the AA group at 6 h, 12 h, 2, 3, and 5 days after surgery were lower than those of the SAA group (p < 0.05). Among the secondary outcomes, the total dose of additional analgesic injection after surgery in the AA group was lower than that in the SAA group (p < 0.05). The serum CRP on the 1st day after operation in the AA group was lower than that in the SAA group (p < 0.05). The degree of nausea on 2nd day after surgery in the AA group was lower than that in the SAA group (p < 0.05). There was no significant difference in other outcomes (p > 0.05).ConclusionIn this study, AA was shown to be an effective and safe complementary and alternative therapy for pain relief after TKA, which was able to reduce the total postoperative dose of additional painkillers, decrease serum CRP 1 day after surgery, and improve the degree of postoperative nausea.Clinical trial registrationwww.chictr.org.cn, ChiCTR2100054403.

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“…Multimode analgesia is a kind of analgesic program that combines the application of drugs with different methods or mechanisms to make them have synergistic effects, so as to reduce the dosage of analgesics and improve the analgesic effect, and has achieved remarkable effects in clinical application [ 2 ]. In recent years, in addition to drug analgesia, it has been reported that auricular point pressing bean as a nondrug intervention can reduce the dosage of early postoperative analgesics by stimulating the auricle acupoints, without vomiting, nausea, and other adverse reactions [ 3 ]. Therefore, this study combined multimode analgesia and auricular acupoint therapy for perioperative patients with meniscus injury surgery, comprehensively analyzed the physical and mental stress, rehabilitation quality, and pain degree, in order to provide new ideas for improving the rehabilitation quality of patients.…”

Section: Introductionmentioning

confidence: 99%

“…Multimode analgesia is a kind of analgesic program that combines the application of drugs with di erent methods or mechanisms to make them have synergistic e ects, so as to reduce the dosage of analgesics and improve the analgesic e ect, and has achieved remarkable e ects in clinical application [2]. In recent years, in addition to drug analgesia, it has been reported that auricular point pressing bean as a nondrug intervention can reduce the dosage of early postoperative analgesics by stimulating the auricle acupoints, without vomiting, nausea, and other adverse reactions [3].…”

Section: Introductionmentioning

confidence: 99%

Effects of Multimodal Analgesia Combined with Auricular Point Therapy on Physical and Mental Stress and Rehabilitation Quality of Patients with Meniscus Injury during the Perioperative Period

Yao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To investigate the effect of multimodal analgesia combined with auricular point therapy on physical and mental stress and rehabilitation quality of patients with meniscus injury during the perioperative period. Methods. 148 patients in our hospital from October 2019 to October 2021 who were scheduled to undergo meniscus surgery were selected and grouped according to the order of file establishment, with 74 cases in each. The control group was given routine analgesia, and the observation group was given multimodal analgesia combined with auricular point therapy. The pain level (visual analogue scale (VAS)), physical and mental stress (heart rate (HR), mean arterial pressure (MAP), depression scale (PHQ-9), and anxiety scale (GAD-7)), complications, rehabilitation quality, and analgesia satisfaction were observed. Results. The VAS scores of pain in the observation group were lower than those in the control group at 6 hours before operation and at 6 hours, 24 hours, and 72 hours after operation ( P < 0.05 ). The MAP, HR, PHQ-9, and GAD-7 scores of the observation group were lower than those of the control group 6 hours before operation ( P < 0.05 ). There was no significant difference in MAP, HR, PHQ-9, and GAD-7 scores between the two groups at 6 hours and 24 hours after operation ( P > 0.05 ). The analgesic satisfaction of the observation group was better than that of the control group ( P < 0.05 ). The incidence of complications in the observation group was 8.11% compared with 12.16% in the control group, which was not statistically significant ( P > 0.05 ). The first exhaust, getting out of bed, and hospital stay in the observation group were shorter than those in the control group ( P < 0.05 ). Conclusion. Multimodal analgesia combined with auricular acupuncture therapy is effective in perioperative patients with meniscus injury. It can reduce perioperative pain, reduce physical and mental stress, and promote early postoperative recovery through a variety of analgesic mechanisms.

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Effect of auricular point pressing therapy on postoperative pain of fracture

Cited by 4 publications

References 22 publications

Clinical Effects and Safety of Auricular Acupressure as an Adjunct Therapy on Postoperative Pain among Patients with Hip Fracture: A Meta-Analysis

Clinical Effects and Safety of Auricular Acupressure as an Adjunct Therapy on Postoperative Pain among Patients with Hip Fracture: A Meta-Analysis

Effectiveness and safety of auricular acupuncture on adjuvant analgesia in patients with total knee arthroplasty: a randomized sham-controlled trial

Effects of Multimodal Analgesia Combined with Auricular Point Therapy on Physical and Mental Stress and Rehabilitation Quality of Patients with Meniscus Injury during the Perioperative Period

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