Advanced Search

Journal of Traditional Chinese Medicine >

2022 , Vol. 42 >Issue 4: 505 - 512

DOI: https://doi.org/10.19852/j.cnki.jtcm.2022.04.002

Systematic Reviews

Effectiveness and safety of electroacupuncture for the treatment of pain after laparoscopic surgery: a systematic review

  • Yusi HUANG ,
  • Jiju YANG ,
  • Xinyi LI ,
  • Huifeng HAO ,
  • Chong LI ,
  • Fan ZHANG ,
  • Haiming LIN ,
  • Xianfei XIE ,
  • Ke HE ,
  • Guihua TIAN
Expand
  • 1 Beijing Dongzhismen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
    2 Department of Integration of Chinese and Western Medicine, Key Laboratory of Carcinogen esis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing 100142, China
TIAN Guihua, Department of Manipulation Pain, Beijing Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China. rosetgh@163.com, Telephone: +86-13399572260
HE Ke, Key Laboratory of Chinese Internal Medicine of MOE, Beijing Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China. hekelucky@sina.com;

Received date: 2022-01-23

  Accepted date: 2022-04-18

  Online published: 2022-07-12

Fold

Abstract

OBJECTIVE: To evaluate the clinical effectiveness and safety of electroacupuncture for treating pain after laparoscopic surgery.METHODS: The following databases were searched (since their establishment until November 16, 2021) for randomized controlled trials (RCTs) on electro-acupuncture for pain after laparoscopic surgery: PubMed, Embase, the Cochrane Library, Web of Science, China National Knowledge Infrastructure Database, Wanfang Database, China Science and Technology Journal Database, and Chinese Biomedical Literature Database. Data were screened independently and extracted by two reviewers. Two researchers independently extracted and cross-checked data and applied the modified Jadad scale and the Cochrane-recommended assessment method to evaluate the bias risk. The Meta-analysis was conducted using RevMan5.3 software.RESULTS: Twelve RCTs enrolling 788 patients were included. (a) For postoperative 24 h visual analogue scale, five trials were included on electroacupuncture + routine analgesia therapy vs routine analgesia therapy with significance in electroacupuncture conducted after surgery [mean difference (MD) = -0.63, 95% confidence interval (CI) (-0.90, -0.37)], as well as in electroacupuncture conducted before and after surgery [MD = -1.01, 95% CI (-1.62, -0.41)] and in surgery. However, two trials were included in electroacupuncture conducted 24 h before surgery with no significant difference [MD = -0.16, 95% CI (-0.44, 0.12)]. (b) The anesthetics intake of electroacupuncture + routine analgesia therapy vs. routine analgesia therapy was significant [MD = -121.71, 95% CI (-164.92, -78.49)]. (c) The adverse effects of electroacupuncture + routine analgesia therapy vs. routine analgesia therapy were significant both in the incidence of postoperative nausea and vomiting [risk rate (RR) = 0.49, 95% CI (0.39, 0.61)] and postoperative dizziness and headache [RR = 0.14, 95% CI (0.04, 0.47)].CONCLUSION: The evidence showed that electro-acupuncture combined with routine analgesia therapy effectively treated pain after laparoscopic surgery. However, more rigorously designed RCTs are required due to the low quality of the included studies and the incomplete outcome evaluation system.

Key words： electroacupuncture; laparoscopy; pain; treatment outcome; safety; systematic review

Cite this article

Yusi HUANG , Jiju YANG , Xinyi LI , Huifeng HAO , Chong LI , Fan ZHANG , Haiming LIN , Xianfei XIE , Ke HE , Guihua TIAN . Effectiveness and safety of electroacupuncture for the treatment of pain after laparoscopic surgery: a systematic review[J]. Journal of Traditional Chinese Medicine, 2022 , 42(4) : 505 -512 . DOI: 10.19852/j.cnki.jtcm.2022.04.002

References

1 Li L, Tian JH, Tian HL, Sun R, Wang Q, Yang KH. The efficacy and safety of different kinds of laparoscopic cholecystectomy: a network Meta-analysis of 43 randomized controlled trials. PLoS One 2014; 2: e90313.
2 Li YX, Li SP. Current status of research on analgesia methods after laparoscopic surgery. Shi Jie Zui Xin Yi Xue Xin Xi Wen Zhai 2019; 66: 50-1.
3 Mitra S, Khandelwal P, Roberts K, Kumar S, Vadivelu N. Pain relief in laparoscopic cholecystectomy-a review of the current options. Pain Pract 2012; 12: 485-96.
4 Choi GJ, Kang H, Baek CW, Jung YH, Kim DR. Effect of intraperitoneal local anesthetic on pain characteristics after laparoscopic cholecystectomy. World J Gastroenterol 2015; 47: 13386-95.
5 Wheeler M, Oderda GM, Ashburn MA, Lipman AG. Adverse events associated with postoperative opioid analgesia: a systematic review. J Pain 2002; 3: 159-80.
6 Chen RD, Tu WZ, Jiang SH. Research progress on the role of purines and their receptors in the analgesic effect of electroacupuncture. Zhong Guo Teng Tong Yi Xue Za Zhi 2012; 1: 53-6.
7 An LX, Chen X, Ren XJ, Wu HF. Electroacupuncture decreases postoperative pain and improves recovery in patients undergoing a supratentorial craniotomy. Am J Chin Med 2014; 5: 1099-109.
8 Sun Y, Gan TJ, Dubose JW, Habib AS. Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials. Br J Anaesth 2008; 2: 151-60.
9 Higgins JPT, Altman DG, Sterne JAC (editors) (2011) Chapter 8:Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from URL: www.cochrane-handbook.org
10 Review Manager RevMan Computer program. Version 5.3. Copenhagern: the Nordic Cochrane Centre, The Cochrane Collaboration, 2014.
11 Chen M, Teng YJ, Deng CW, Chen C. The influence of acupuncture on adverse reactions and early recovery after laparoscopic hysterectomy. Guangzhou Zhong Yi Yao Da Xue Xue Bao 2019; 12: 1939-43.
12 Wang J, Fu GQ, Y L, Shen WD, Wang K. Comparative study on the effect of electroacupuncture and morphine intravenous patient-controlled analgesia on postoperative recovery of patients with laparoscopic cholecystectomy. Shanghai Zhong Yi Yao Za Zhi 2016; 9: 52-6.
13 Wang XQ, Wu WZ, Zheng M, Li S. The feasibility study of preoperative electroacupuncture on gastrointestinal function in patients undergoing gynecological laparoscopic surgery. Zhen Jiu Lin Chuang Za Zhi 2018; 2: 35-8.
14 Jiang M, Zhou M, Shen FY. Clinical study of analgesic effect of acupuncture-assisted anesthesia on patients undergoing lapa-roscopic cholecystectomy-Clinical data of 40 cases. Jiangsu Zhong Yi Yao 2018; 3: 67-8.
15 Yu GJ, Fu GQ, Li FR, et al. Observation of the analgesic effect of long-stay-needle electrical stimulation for postoperative laparoscopic cholecystectomy. Zhong Guo Zhen Jiu 2014; 2: 169-72.
16 Sun Y, Zhang DW, Li HF. The influence of electroacupuncture on the rapid recovery of elderly laparoscopic bowel surgery. Shi Yong Yi Xue Za Zhi 2019; 11: 1837-40.
17 Zhang L, Wu C. A clinical comparative study of two acupuncture methods assisted in patients undergoing laparoscopic cholecystectomy under general anesthesia. Zhong Hua Zhong Yi Yao Xue Kan 2015; 4: 826-28.
18 Wang YD, Zhou J, Han G, Kong XC, Cao Y, Gong HJ. Observation on the clinical effect of combined acupuncture and medicine anesthesia in laparoscopic cholecystectomy. Zhong Guo Zhong Yi Ji Chu Yi Xue Za Zhi 2015; 6: 728-30.
19 Ding YH, Gu CY, Shen LR, Chen YL, Shi Z. The influence of different anesthesia methods on the immune function of T lymphocytes in patients undergoing laparoscopic cholecystectomy and the effect of postoperative analgesia. Zhong Guo Zhen Jiu 2011; 5: 447-50.
20 Chen BN, Zhang FX, Zhang JC, et al. The effect of acupuncture on the early recovery quality of patients after gynecological laparoscopy: QoR-40 scale. Zhong Hua Ma Zui Xue Za Zhi 2015; 12: 1428-30.
21 Li S, Zheng M, Wu WZ, Guo J, Ji FB, Zheng Z. Effects of electroacupuncture administered 24 h prior to surgery on postoperative nausea and vomiting and pain in patients undergoing gynecologic laparoscopic surgery: a feasibility study. EXPLORE-NY 2017; 13: 313-8.
22 Li MJ. Discussion on the clinical effect of Acupuncture Electrical Stimulation on gynecological minimally invasive surgery based on ERAS concept. Nanjing: Nanjing TCM University, 2021: 15-24.
23 Jin YH. Acute post surgical pain may result in chronic post surgical pain: a systemic review and Meta analysis. Pak J Med Sci 2015; 4: 833-6.
24 Marks JL, Ata B, Tulandi T. Systematic review and Meta-analysis of intraperitoneal instillation of local anesthetics for reduction of pain after gynecologic laparoscopy. J Minim Invasive Gynecol 2012; 5: 545-53.
25 World Health Organization (WHO). Acupuncture:review and analysis of reports on controlled clinical trials. Geneva serial online 2003,.cited 2008-07-15; Available from URL: http//apps.who.int/iris/handle/10665/42414.
26 Xie CJ, He XJ. Acupuncture anesthesia combined with cervical plexus anesthesia for 32 cases of thyroid surgery Clinical Observation. Zhong Yi Yao Dao Bao 2007; 2: 50-2.
27 Zhou J, Shen WD, Li GA, Chi H, Fu GX, Zhu ZM. Severe pulmonary valve stenosis resection under combined acupuncture and anesthesia. Zhong Guo Zhen Jiu 2007; 3: 203-4.
28 Li MJ, Wei BX, Deng QX, Liu X, Zhu XD, Zhang Y. Effect of electroacupuncture preemptive analgesia on stress response and epidural analgesia of parturient women. Zhen Ci Yan Jiu 2019; 10: 752-6.
29 Wu JY, Chen B, Zhang XL, Yin P, Xu SF. Effect of Electroacupuncture on postoperative analgesia of mixed hemorrhoids. Shanghai Zhen Jiu Za Zhi 2016; 6: 680-3.
30 Zhu XM, Yin LH. Research trend of acupuncture analgesia mechanism in the new period. Zhong Guo Zhong Yi Ji Zheng 2012; 1: 33-5.
31 Dong Q. Time-effect relationship of acupuncture treatment for diabetic peripheral neuropathy. Nanjing Zhong Yi Yao Da Xue Xue Bao 2011; 4: 3.
32 Ding Y, Su SY, Li YL, et al. Effects of electroacupuncture preconditioning on cardiac function in patients undergoing laparoscopic myomectomy. Zhen Jiu Lin Chuang Za Zhi 2014; 7: 4-6.
33 Ye CH, Huang FQ. The effect of electroacupuncture at Neiguan on nausea and vomiting after gynecological laparoscopy. Shi Jie Zui Xin Yi Xue Xin Xi Wen Zhai 2019; 93: 223-4.
34 Alizadeh R, Esmaeili S, Shoar S, Bagheri HS, Shoar N. Acupuncture in preventing postoperative nausea and vomiting: efficacy of two acupuncture points versus a single one. J Acupunct Meridian Stud 2014; 2: 71-5.
35 Lin Z. Effect of acupuncture combined with bladder function training on the recovery of bladder function after hysterectomy. Zhong Guo Zhong Yi Yao Ke Ji 2019; 3: 460-2.
36 Qiu XZ, Cai LY, Zhang JN, Zhou HM, Jiang CH. Research progress of the application of acupuncture-assisted anesthesia in the perioperative period and organ protection. Shanghai Zhong Yi Yao Za Zhi 2020; 1: 92-6.
37 Wang NK, Qu Y, Qing W, et al. Combined acupuncture and generalanesthesia on immune and cognitive function in elderly patients following subtotal gastrectomy for gastric cancer. Oncol Lett 2018; 1: 189-94.
38 Hu JY, Qiu RJ, Li XY, Shang HC, Tian GH. Research ideas on multidimensional evaluation methods of clinical effects of Traditional Chinese Medicine in treating chronic pain. Shi Jie Ke Xue Ji Shu-Zhong Yi Yao Xian Dai Hua: l-6.
39 Qiu RJ, Li M, Han SJ, et al. Interpretation of COMET Handbook 1.0 and its enlightenment on constructing core index set of clinical research of Traditional Chinese Medicine. Zhong Guo Xun Zheng Yi Xue Za Zhi 2017; 12: 1482-8.
Options
Outlines

/

〈 〉