| Purpose: To observe the clinical effect of acupuncture combined with acupressure on postoperative pain in patients undergoing thoracoscopic surgery.To find an effective solution to clinically solve the pain after thoracoscopic surgery.Materials and methods: In this study,60 patients admitted for thoracic surgery at Liaoning University of Traditional Chinese Medicine(TCM)between January 2021 and January 2022 were randomly assigned to a control group and an observation group of 30 patients each.Both groups received the same routine treatment during the perioperative period,and analgesic pump was used for analgesia after operation.The control group received acupuncture after operation,and selected points for bilateral internal numbness,bilateral Hegu,operation side Neiguan,and operation side branch.Acupuncture was started 2 hours after the operation,and indwelled for 30 minutes after degassing,twice a day;the observation group was additionally treated with auricular acupuncture on the basis of the control group.2 hours after the operation began to press,each acupoint was pressed vertically 60 times,4 times a day(interval of 6 hours).After operation,the two groups of patients were evaluated by visual analog scale method to evaluate the pain degree at rest at 6h,12 h,24h,and 48 h after operation.The times of pressing the analgesic pump in four time periods of 48 h were recorded,and the plasma β-endorphin levels were recorded before and after the operation at6 h,12h,24 h,and 48 h in the two groups.The occurrence of adverse reactions in the two groups of patients was recorded.SPSS 26.0 statistical software was used for statistics and analysis of the corresponding data.Results:1.General information:(1)Gender: There was no statistical difference in the gender distribution between the two groups.Among them,19 males accounted for 63.3% and 11 females accounted for 36.7% in the control group;16 males and 14 females accounted for53.5% in the observation group.46.7%.(2)Age: There was no statistical difference in the age division between the two groups.Among them,the control group was the oldest at 78 and the youngest at 41;the observation group was the oldest at 77 and the youngest at 33.(3)ASA score: There was no significant difference in ASA grade between the two groups.Among the control group,13 cases of grade I accounted for 43.3%,and 17 cases of grade II accounted for56.7%;in the observation group,14 cases of grade I accounted for 46.7%,and 16 cases of female accounted for 53.3%.(4)Comparison of body weight and operation time: There was no statistical difference in body weight and operation time between the two groups.The weight in the control group was 64.97±5.67,and the operation time was 113.90±14.93;is109.33±17.71.2.The VAS scores of the observation group at rest at 6h,12 h,24h,and 48 h after operation were higher than those of the control group,and the difference was statistically significant at P<0.05.3.The number of analgesic pump compressions in the observation group at 0-6h,6-12 h,12-24 h,and 24-48 h after the operation was less than that in the control group,and the difference was statistically significant at P<0.05.4.There was no significant difference in plasma β-endorphin content between the two groups before operation P>0.05;the intra-group comparison of postoperative plasmaβ-endorphin content in the two groups was higher than that before operation,and the difference was statistically significant at P<0.05 The plasma β-endorphin content in the observation group was higher than that in the control group at 6h,12 h,24h,and48 h after operation,and the difference was statistically significant at P<0.05.5.The incidence of postoperative nausea,dizziness,chest tightness and cough was 20% in the observation group,down from 33% in the control group,but P>0.05 had no statistical significance.Conclusion:1.Auricular acupuncture combined with acupuncture can effectively treat the pain of patients after thoracoscopic surgery,and its effect is better than that of acupuncture alone.2.Auricular acupuncture combined with acupuncture can stimulate the production of endogenous β-endorphins,reduce the postoperative pain score(VAS score)of patients after thoracoscopic surgery,and reduce the number of analgesic pump pressings. |
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