Effect of acupuncture therapy on long-term postoperative pain in patients undergoing cardiac surgery with median sternotomy

HAN Xu; MA Feixiang; YUAN Conghu; SONG Jianxiang; SHI Zhan; LI Wanlang; LI Xiangnan; ZHANG Yajun

doi:10.7619/jcmp.20223529

Journal of Clinical Medicine in Practice > 2023 > 27(6): 86-90. > DOI: 10.7619/jcmp.20223529

HAN Xu, MA Feixiang, YUAN Conghu, SONG Jianxiang, SHI Zhan, LI Wanlang, LI Xiangnan, ZHANG Yajun. Effect of acupuncture therapy on long-term postoperative pain in patients undergoing cardiac surgery with median sternotomy[J]. Journal of Clinical Medicine in Practice, 2023, 27(6): 86-90. DOI: 10.7619/jcmp.20223529

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Effect of acupuncture therapy on long-term postoperative pain in patients undergoing cardiac surgery with median sternotomy

1.
Department of Cardiothoracic Surgery, Yancheng Third People's Hospital of Jiangsu Province, Yancheng, Jiangsu, 224000
2.
Department of Rehabilitation, Yancheng Third People's Hospital of Jiangsu Province, Yancheng, Jiangsu, 224000
3.
Department of Pain, Yancheng Third People's Hospital of Jiangsu Province, Yancheng, Jiangsu, 224000

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Received Date: November 24, 2022
Revised Date: January 06, 2023
Available Online: April 11, 2023

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Abstract

Abstract

Objective
To explore the effect of acupuncture therapy on long-term postoperative pain in patients undergoing cardiac surgery through median sternal incision.
Methods
A total of 120 patients undergoing cardiac surgery with median sternal incision were selected as study objects, and were randomly divided into control group (n=60) and acupuncture group (n=60). The former was treated with conventional treatment after surgery, while the latter group was treated with acupuncture therapy on the basis of conventional treatment. Postoperative analgesic drug dosage and postoperative recovery were compared between the two groups, and the levels of C-reactive protein (CRP) and T cell subsets before and after surgery were compared between the two groups. In addition, perioperative and postoperative long-term pain scores were also compared between the two groups.
Results
The dosage of analgesic drugs in the acupuncture group was lower than that in the control group at 3 d, 7 d, 1 month and 3 months after operation, and the differences were statistically significant (P < 0.05). Before surgery, there was no significant difference in CRP and T cell subsets between two groups (P>0.05). At 5 days after surgery, CRP and CD8⁺ levels in two groups were higher than before surgery, and CD4⁺ and CD4⁺/CD8⁺ levels were lower than before surgery, but the CRP and CD8⁺ levels in the acupuncture group were lower than those of the control group, and CD4⁺ and CD4⁺/CD8⁺ levels were higher than those in the control group (P < 0.05). The quality of life in the acupuncture group were higher than those in the control group, the perioperative and postoperative long-term pain scores of the acupuncture group were significantly lower than those of the control group, and the differences were statistically significant (P < 0.05). However, the mean length of stay and incidence of postoperative complications showed no significant differences between the two groups(P>0.05).
Conclusion
Acupuncture therapy can significantly relieve the perioperative pain and long-term postoperative pain of patients with median sternal incision.
- median sternotomy,
- cardiac surgery,
- perioperative pain,
- long-term postoperative pain,
- acupuncture therapy,
- quality of life

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References

[1]	CHOINIẼRE M, WATT-WATSON J, VICTOR J C, et al. Prevalence of and risk factors for persistent postoperative nonanginal pain after cardiac surgery: a 2-year prospective multicentre study[J]. CMAJ, 2014, 186(7): E213-E223. doi: 10.1503/cmaj.131012
[2]	JAYAKUMAR S, BORRELLI M, MILAN Z, et al. Optimising pain management protocols following cardiac surgery: a protocol for a national quality improvement study[J]. Int J Surg Protoc, 2019, 14: 1-8. doi: 10.1016/j.isjp.2018.12.002
[3]	阮富贵, 王海永. 心脏手术后疼痛研究进展[J]. 世界最新医学信息文摘: 连续型电子期刊, 2021, 21(19): 41-43.
[4]	GUIMARĀES-PEREIRA L, REIS P, ABELHA F, et al. Persistent postoperative pain after cardiac surgery: a systematic review with meta-analysis regarding incidence and pain intensity[J]. Pain, 2017, 158(10): 1869-1885. doi: 10.1097/j.pain.0000000000000997
[5]	BJØRNNES A K, PARRY M, FALK R, e et al. Impact of marital status and comorbid disorders on health-related quality of life after cardiac surgery[J]. Qual Life Res, 2017, 26(9): 2421-2434. doi: 10.1007/s11136-017-1589-2
[6]	GRAFTON-CLARKE C, GRACE L, ROBERTS N, et al. Can postoperative massage therapy reduce pain and anxiety in cardiac surgery patients[J]. Interact Cardiovasc Thorac Surg, 2019, 28(5): 716-721. doi: 10.1093/icvts/ivy310
[7]	FLORKIEWICZ P, MUSIALOWICZ T, PITKÄNEN O, et al. The effect of two different doses of remifentanil on postoperative pain and opioid consumption after cardiac surgery: a randomized controlled trial[J]. Acta Anaesthesiol Scand, 2015, 59(8): 999-1008. doi: 10.1111/aas.12536
[8]	张晓婷. 针刺对腹腔镜下结直肠癌根治术患者术后疼痛及免疫功能的影响[J]. 光明中医, 2021, 36(14): 2403-2406. https://www.cnki.com.cn/Article/CJFDTOTAL-GMZY202114053.htm
[9]	谭首海, 于秀芝, 刘海龙, 等. 加味四黄汤内服外敷联合针刺对老年混合痔PPH术后疼痛的疗效及血清VEGF、IL-1β、IFN-γ的影响[J]. 新中医, 2020, 52(10): 81-85. https://www.cnki.com.cn/Article/CJFDTOTAL-REND202010025.htm
[10]	THOMPSON-BRAZILL K A. Pain control in the cardiothoracic surgery patient[J]. Crit Care Nurs Clin North Am, 2019, 31(3): 389-405. doi: 10.1016/j.cnc.2019.05.007
[11]	谢家湘, 邵永丰, 黄娟. 心脏术后患者加速康复中的规范化疼痛管理[J]. 实用临床医药杂志, 2021, 25(9): 82-85. doi: 10.7619/jcmp.20210570
[12]	OZTURK N K, BAKI E D, KAVAKLI A S, et al. Comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery[J]. Pain Res Manag, 2016, 2016: 4261949.
[13]	刘佳, 王春蓉, 高宇晨, 等. 心脏术后慢性疼痛危险因素的研究进展[J]. 中国分子心脏病学杂志, 2021, 21(4): 4147-4149. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGFB202104025.htm
[14]	VAN GULIK L, JANSSEN L I, AHLERS S J G M, et al. Risk factors for chronic thoracic pain after cardiac surgery via sternotomy[J]. Eur J Cardiothorac Surg, 2011, 40(6): 1309-1313.
[15]	FUENTEALBA C F, BIAGINI A L. Acupuncture for postoperative pain, a literature review[J]. Rev Med Chil, 2016, 144(3): 325-332. doi: 10.4067/S0034-98872016000300007
[16]	JUNG J Y, CHO J H, CHUNG S H. Acupuncture for postoperative pain following total knee arthroplasty: a systematic review protocol[J]. BMJ Open, 2015, 5(11): e009573.
[17]	ARSLAN H, ALY AHMED H M, DOGANAY YıLDıZ E, et al. Acupuncture reduces the postoperative pain in teeth with symptomatic apical periodontitis: a preliminary randomized placebo-controlled prospective clinical trial[J]. Quintessence Int, 2019, 50(4): 270-277.
[18]	ZHANG Q H, YUE J H, SUN Z R, et al. Effectiveness of acupuncture for the treatment of postoperative pain: a protocol for a systematic review of randomized controlled trial[J]. Medicine, 2019, 98(49): e17606.
[19]	MAEDA Y, KIM H, KETTNER N, et al. Rewiring the primary somatosensory cortex in carpal tunnel syndrome with acupuncture[J]. Brain, 2017, 140(4): 914-927.
[20]	马念, 王莉平. 针刺联合刺血疗法、火罐治疗三叉神经痛的临床研究[J]. 实用临床医药杂志, 2020, 24(17): 99-101. doi: 10.7619/jcmp.202017027
[21]	王振川. 针刺疗法联合卡马西平治疗三叉神经痛临床观察[J]. 中国中医药现代远程教育, 2021, 19(11): 139-141. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202111055.htm
[22]	徐培, 阚厚铭, 程志祥, 等. 针刺疗法在术后疼痛治疗中的应用现状[J]. 中国疼痛医学杂志, 2021, 27(5): 372-375. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ202105014.htm

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