Description lateral auricular portal nerve, large nerve points, subcortical, small pillow nerve, and sympathetic, such as acupuncture and alcohol disinfection.
Experimental Description
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.
Sample Count
148
Control
Std
routine analgesia(n=74)
Experiment
multimodal analgesia combined with auricular point therapy(n=74)
Indicator
Visual analog scale(VAS)Heart rate(HR)Mean arterial pressure(MAP)PHQ-9GAD-7Analgesia satisfactionComplicationsRehabilitation quality
Auxiliary Medication
48 hours before surgery: 200 mg celecoxib capsules were taken orally, once every 12 hours, and physical analgesia therapy such as relaxation therapy was informed; night 20 : 00, take a comfortable lying position, close the eyes, focus on the body, relax, and contract head-trunk-upper extremity-buttocks-lower extremity-feet successively. After the muscles of the whole body are completely relaxed, imagine a beautiful, calm, natural scene, feel happy time with your family, have hope for the future, and achieve the purpose of relaxation. Or music therapy, according to the patient's personal characteristics and personality, provide personalized music repertoire, extroverts, soft, and soothing music, and introvert, mainly to positive music. The volume should be tolerated by patients.
Stimulation Method
MS
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
-
-
-
-
-
since the start to the end of the 7 d after admission
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
The adhesive tape (0.6 cm × 0.6 cm) with the seeds of cowherb seed.
-
-
Description Auricular point therapy: since the start to the end of the 7 d after admission, concrete steps as follows: lateral auricular portal nerve, large nerve points, subcortical, small pillow nerve, and sympathetic, such as acupuncture and alcohol disinfection. The adhesive tape (0.6 cm × 0.6 cm) with the seeds of cowherb seed was applied to the auricular acupoint, and then, a little pressure was applied until the patient appeared sore and numb, 3–5 times per day.
Anesthesia Method
GA
Clinical Trial Type
not random
Effector
The VAS scores of pain in the observatiojin 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). 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.
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.
Abstract
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."
Souce
Evid Based Complement Alternat Med. 2022 Aug 17;2022:3130956. doi: 10.1155/2022/3130956. eCollection 2022.
