Clinical Observation Of Ai Ci Jiu Acupoint Application In The Treatment Of Shoulder And Neck Discomfort After Thyroid Surgery

ObjectiveThe purpose of this study was to observe the clinical effect of ai ci jiu acupoint application on shoulder and neck discomfort after thyroid surgery,which belongs to symptoms of wind-cold,so as to provide a more simple,convenient,effective and inexpensive treatment for shoulder and neck discomfort after thyroid surgery.Methods1、According to the inclusion criteria to collect 110 cases from February 2016 to February 2019,who were admitted to the second surgery department of the first affiliated hospital of Guangzhou University of Traditional Chinese Medicine for open thyroid surgery and postoperative shoulder and neck discomfort.The random number method divided the patients into the treatment group and control group,55 cases in each group.And in the control group,2 cases were removed due to secondary surgery.2、In the treatment group,ai ci jiu was applied to the dazhui acupoint and bailao acupoints,once a day,one patch for each time,and each patch was used for 6 hours.Continuous application was performed on the first,second and third days after surgery.The control group was treated with moxibustion,and the selected acupoints were the same as treatment group.Moxibustion was performed on each acupoint for 10 to 15 minutes until the skin was red.Moxibustion was performed twice a day,and continuous moxibustion was performed on the first,second and third days after the operation.3、VAS scale score,NPQ scale score and TCM syndrome score were evaluated before and 3 days after the operation.The efficacy of the two groups was evaluated and compared.Results1、General data and baseline data of the patients were analyzed and compared.There was no statistical difference between the two groups in gender,age,length of stay,disease composition,surgical method,duration of surgery,intraoperative blood loss,pre-treatment VAS scale,NPQ scale and TCM syndrome score(p>0.05),which was comparable.2、Comparison of the NPQ scale scores:Compared with that before the postoperative treatment,the NPQ scale scores of the patients in the two groups was significantly reduced after the treatment(p<0.05),indicating that ai ci jiu acupoint application and moxibustion could effectively reduce the postoperative symptoms of the patients’ neck pain.After treatment,there was no significant difference in the NPQ scale scores between the two groups(p>0.05),indicating that the two treatment methods were equally effective in alleviating patients’ neck pain.3、Comparison of VAS scale scores:After treatment,the VAS scale scores of the two groups of patients were significantly reduced(p<0.05),indicating that both of the two treatment methods could effectively reduce the symptoms of postoperative shoulder and neck pain,and the two treatment methods had little difference in the degree of pain relief(p>0.05).4、Comparison of TCM syndrome scale scores:After treatment,the TCM syndrome points of the two groups of patients decreased significantly(p<0.05),suggesting that the two treatment methods can effectively improve the neck pain,acid distension,stiffness and other discomfort after thyroid surgery.In addition,the TCM syndrome points of ai ci jiu group was similar to that of moxibustion(p>0.05),indicating that the two treatment methods had little difference in effect.5、Comparison of clinical efficacy:The overall efficacy of the two groups was evaluated,and both of the two treatment methods could significantly reduce postoperative shoulder and neck discomfort symptoms of the patients,and the two groups had similar efficacy(p>0.05).ConclusionFor the shoulder and neck discomfort after thyroid surgery,belongs to symptoms of wind-cold,ai ci jiu acupoint application and moxibustion both can significantly improve the shoulder and neck pain,acid swelling,stiffness and other discomfort after thyroid surgery.However,compared with moxibustion,ai ci jiu acupoint application is more convenient,without professional technical personnel,and the effect is comparable,which is a better method for the clinical treatment of shoulder and neck discomfort after thyroid surgery.