Detail information
ID ENCL000004
Year 2023
Surgery Thoracoscopic Lobectomy
Acupoint
Acupoint Code
Hegu LI4
Neiguan PC6
Houxi SI3
Zhigou TE6
Baihui GV20
Yintang GV29
Taichong LR3
Side bilaterally
Description bilateral Hegu (LI4), Neiguan (PC6), Houxi (SI3) and Zhigou (SJ6)
Experimental Description A retrospective analysis about 2 groups ("initial scheme" and "improved scheme") of patients (40 cases in each group) who underwent thoracoscopic lobectomy was conducted in the present paper. Patients of the "initial scheme" group received thoracoscopic operation with three incisions under acupuncture-aided anesthesia i.e., electroacupuncture (EA) stimulation of bilateral Hegu (LI4), Neiguan (PC6), Houxi (SI3) and Zhigou (SJ6), combined with Lidocaine and ropivacaine epidural anesthesia and propofol intravenous anesthesia from January of 2013 to December of 2017. Patients of the "improved scheme" group received thoracoscopic operation with single incision under acupuncture-aided anesthesia by EA, combined with ropivacaine paravertevinal block and lidocaine and remifentanil intravenous anesthesia from August 2018 to August 2021.
Sample Count 80
Age 18-70
Control
Std
initial scheme (n=40)
Experiment improved scheme (n=40)
Indicator Intraoperative deep breathing The degree of postoperative incision pain The postoperative resuscitation time The ambulatory rate on day after surgery
Auxiliary Medication Patients of the initial scheme group combined with Lidocaine and ropivacaine epidural anesthesia and propofol intravenous anesthesia. Patients of the improved scheme group combined with ropivacaine paravertevinal block and lidocaine and remifentanil intravenous anesthesia.
Stimulation Method EA
Anesthesia Method
AAA
Effector The incidence of intraoperative deep breathing and the degree of postoperative incision pain were significantly lower (P<0.05), the postoperative resuscitation time was obviously shorter (P<0.05), and the ambulatory rate on day after surgery was higher (P<0.05) in the "improved scheme" group than in the "initial scheme" group. The "improved scheme" is better than the "initial scheme" in stabilizing the patient's breathing during thoracoscopic lobectomy operation, shortening the resuscitation time, and ameliorating the postoperative recovery state and pain reaction, thus being a better technical solution in clinical practice.
Positive
Literature
PMID 37730266
Title [Retrospective cohort study on application of acupuncture-aided anesthesia technique to patients undergoing thoracoscopic lobectomy].
Abstract OBJECTIVE: To compare the clinical effect of ""initial scheme"" and ""improved scheme"" of acupuncture-aided anesthesia for patients undergoing thoracoscopic lobectomy. METHODS: A retrospective analysis about 2 groups (""initial scheme"" and ""improved scheme"") of patients (40 cases in each group) who underwent thoracoscopic lobectomy was conducted in the present paper. Patients of the ""initial scheme"" group received thoracoscopic operation with three incisions under acupuncture-aided anesthesia i.e., electroacupuncture (EA) stimulation of bilateral Hegu (LI4), Neiguan (PC6), Houxi (SI3) and Zhigou (SJ6), combined with Lidocaine and ropivacaine epidural anesthesia and propofol intravenous anesthesia from January of 2013 to December of 2017. Patients of the ""improved scheme"" group received thoracoscopic operation with single incision under acupuncture-aided anesthesia by EA, combined with ropivacaine paravertevinal block and lidocaine and remifentanil intravenous anesthesia from August 2018 to August 2021. The incidence of intraoperative deep breathing, resuscitation time, ambulatory rate on day after surgery and postoperative incision pain of the two schemes were compared. RESULTS: The incidence of intraoperative deep breathing and the degree of postoperative incision pain were significantly lower (P<0.05), the postoperative resuscitation time was obviously shorter (P<0.05), and the ambulatory rate on day after surgery was higher (P<0.05) in the ""improved scheme"" group than in the ""initial scheme"" group. CONCLUSION: The ""improved scheme"" is better than the ""initial scheme"" in stabilizing the patient's breathing during thoracoscopic lobectomy operation, shortening the resuscitation time, and ameliorating the postoperative recovery state and pain reaction, thus being a better technical solution in clinical practice."
Souce Zhen Ci Yan Jiu. 2023 Sep 25;48(9):946-50. doi: 10.13702/j.1000-0607.20220733.