Detail information
ID ENCL000027
Year 2018
Surgery Gynaecologic Laparoscopy
Acupoint
Acupoint Code
Hegu LI4
Taichong LR3
Zusanli ST36
Neiguan PC6
Danzhong CV17
Shuigou GV26
Shenmen HT7
Side on the middle body line;bilateral
Description CV17 (on the middle body line), and bilateral LI4, HT7, LR3, ST36 and PC6);GV26
Experimental Description randomised trial in 75 women
Sample Count 75
Age ≥18
Control
Std
Placebo
standard anaesthesia alone (CON)(n=25);acupressure (APU)(n=25)
Experiment acupuncture combined with a standardised anaesthetic regimen (ACU)(n=25)
Indicator Aldrete score Post anaesthetic discharge scoring system In-house score for outpatients Pre-operative anxiety Bispectral index(BIS) Reaction times during emergence Extubation time Post-operative analgesic consumption Pain intensity Occurrence of anaesthesia-related side effects
Auxiliary Medication Opioids and propofol were administered by Target Controlled Infusion (TCI; Fresenius-Kabi Orchestra® Base Primea syringe pumps, Fresenius Kabi Group, Bad Homburg, Germany). The target effect-site concentrations for the induction (maintenance) of anaesthesia were 0.2–0.4 (0.12–0.22) ng/ml sufentanyl and 3.0 to 9.0 (3.0–4.0) µg/ml propofol. All patients received metamizol 2.5 g intra-venous (i.v.)-infusions during the last 30 minutes of the surgery to prevent post-operative pain, dexamethasone 8 mg i.v. (after induction) to prevent PONV and ranitidine 50 mg i.v. (after induction) for prevention of gastric stress ulcer. Post-operative pain therapy included metamizol (4*1.25 g/day, 6 hours interval) on demand.
Stimulation Method MS
Induction Method
Electroacupuncture Instrument Model Manufacturer Frequency Waveform Strength Induction Time
- - - - - Needles or plasters were left in place for 72–96 hours depending on the patient’s discharge from the hospital (earliest 48 hours after surgery), covering the whole perioperative period.

Acupuncture_Needle Needle_Manufacturer Needle_Depth
0.2×1.5 mm - -

Description 12 press needles (ACU; sharp tip; 0.2 mm × 1.5 mm) or 12 press plasters (APU; blunt knob; both Seirin New Pyonex®, Seirin Corp., Shizuoka City, Japan) at GV26
Anesthesia Method
GA
Clinical Trial Type random
Adverse Effects No acupuncture or acupressure-related side-effects could be observed
Effector The main outcome differed significantly between groups (p = 0.013). Median time to ready for discharge in the ACU group (30 (IQR: 24–41) min) was 16 minutes (35%) shorter than in the CON group (46 (36–64) min; p = 0.015) and tended to be shorter than in the APU group (43 (31–58) min; p = 0.08). Compared to CON (p = 0.029), median time to extubation was approximately 7 minutes shorter in both, the ACU and the APU group. No acupuncture or acupressure-related side-effects could be observed. A difference in time to recovery of 16 minutes compared to standard alone can be considered clinically relevant. Thus, results of this study encourage the application of acupuncture in gynaecological laparoscopy as it improves post-anaesthetic recovery.
Positive
Literature
PMID 30356057
Title Acupuncture reduces the time from extubation to 'ready for discharge' from the post anaesthesia care unit: results from the randomised controlled AcuARP trial.
Abstract Acupuncture may improve peri-operative care as it reduces post-operative symptoms, such as pain, nausea and vomiting, or sedation. This patient-assessor blinded, randomised trial in 75 women undergoing gynaecologic laparoscopy evaluated the effects of acupuncture combined with a standardised anaesthetic regimen (ACU) on post-anaesthetic recovery, when compared to acupressure (APU) or standard anaesthesia alone (CON). Main outcome measure was the time from extubation to 'ready for discharge' from recovery as assessed by validated questionnaires. The main outcome differed significantly between groups (p = 0.013). Median time to ready for discharge in the ACU group (30 (IQR: 24-41) min) was 16 minutes (35%) shorter than in the CON group (46 (36-64) min; p = 0.015) and tended to be shorter than in the APU group (43 (31-58) min; p = 0.08). Compared to CON (p = 0.029), median time to extubation was approximately 7 minutes shorter in both, the ACU and the APU group. No acupuncture or acupressure-related side-effects could be observed. A difference in time to recovery of 16 minutes compared to standard alone can be considered clinically relevant. Thus, results of this study encourage the application of acupuncture in gynaecological laparoscopy as it improves post-anaesthetic recovery."
Souce Sci Rep. 2018 Oct 24;8(1):15734. doi: 10.1038/s41598-018-33459-y.