Detail information
ID ENCL000150
Year 1999
Surgery Knee Arthroscopy
Acupoint
Acupoint Code
Xuehai SP10
Liangqiu ST34
Hegu LI4
Zusanli ST36
Yinlingquan SP9
Side ipsilateral to the side of surgery
Description spleen 9 (Yinlingquan, SP 9), spleen 10 (Xuehai, SP 10), stomach 34 (Liangqui, ST 34) and stomach 36 (Zusanli, ST 36) around the knee joint to be arthroscoped. The distal point was large intestine 4 (Hegu, LI 4) ipsilateral to the side of surgery.
Experimental Description Forty-two patients presenting for unilateral knee arthroscopy were randomly allocated to receive a standard anaesthetic with or without acupuncture (given after the induction of anaesthesia).
Sample Count 42
Age ≥18
Control
Std
anaesthetic without acupuncture(n=21)
Experiment anaesthetic with acupuncture(n=21)
Indicator Visual analog scale(VAS) Time to first postoperative analgesia Total analgesia requirement in the first 24 h Duration of surgery
Auxiliary Medication Anaesthesia was induced with propofol 2-3 mg.kg-1 and fentanyl 1 ug.kg-1 and maintained by breathing a mixture of oxygen and nitrous oxide (40 : 60%) with isoflurane through a laryngeal mask airway.
Stimulation Method MS
Induction Method
Electroacupuncture Instrument Model Manufacturer Frequency Waveform Strength Induction Time
- - - - - 15 min

Acupuncture_Needle Needle_Manufacturer Needle_Depth
- - -

Description All needles were kept in place for 15 min and manually stimulated for 5s (by needle rotation through 180°) every 5 min and just before needle removal.
Anesthesia Method
AAA
Clinical Trial Type random
Effector There was no significant difference between the two groups in any of the outcome measures. We conclude that acupuncture analgesia has no additional effect when given under anaesthesia to patients undergoing knee arthroscopy.
Negative
Literature
PMID 10594420
Title The effect of pre-emptive acupuncture treatment on analgesic requirements after day-case knee arthroscopy.
Abstract The role of acupuncture analgesia in the management of postoperative pain is yet to be clearly evaluated. We conducted a prospective, double-blind, randomised controlled study to evaluate the effect of acupuncture pretreatment on the analgesic requirement after knee arthroscopy. Forty-two patients presenting for unilateral knee arthroscopy were randomly allocated to receive a standard anaesthetic with or without acupuncture (given after the induction of anaesthesia). Visual analogue pain scores, time to first postoperative analgesia and total analgesia requirement in the first 24 h were recorded. There was no significant difference between the two groups in any of the outcome measures. We conclude that acupuncture analgesia has no additional effect when given under anaesthesia to patients undergoing knee arthroscopy."
Souce Anaesthesia. 1999 Dec;54(12):1204-7. doi: 10.1046/j.1365-2044.1999.01030.x.