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Effectiveness and safety of electroacupuncture analgesia in controlling intraoperative pain and hemodynamics during total thyroidectomy:A randomized controlled trial

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Journal of Traditional Chinese Medical Sciences 2024年第2期11卷 165-171页

作者： Dong Phuong Tran Quoc Dung Nguyen Ninh Khac Nguyen Van Hong Pham Senior Specialist Clinic National Hospital of AcupunctureHanoi10000Vietnam Vietnam National Association of Acupuncture Hanoi10000Vietnam Department of Training and Science National Hospital of AcupunctureHanoi10000Vietnam

Objective:To evaluate the effectiveness and safety of electroacupuncture in conjunction with additional medications in providing analgesia and stabilizing hemodynamic parameters during total ***:This randomized controlled trial included 100 patients who underwent a total thyroidectomy between October 2022 and October 2023 at the Vietnam National Hospital of *** patients were randomized into two *** electroacupuncture analgesia(EA)group received EA stimulation at five acupuncture points:Hegu(LI 4),Neiguan(PC 6),Shuitu(ST 10),Quepen(ST 12),and Yifeng(SJ 17),while the control group received a bilateral superficial cervical plexus *** outcomes included the level of analgesia and perioperative vital signs in both ***,pain thresholds and serum b-endorphin levels were measured before and after electroacupuncture in the EA ***:Complete analgesia(Level A)was attained in 86%and 76%of the patients in the EA and control groups,respectively,with no significant difference between the two groups(P¼1.00).In the EA group,the mean pain threshold after receiving EA doubled(648.7(77.4)g/s vs.305.3(45.3)g/s,Pb-endorphin level increased by approximately 13.5 pg/mL(Pble throughout the ***:EA,in conjunction with additional medications that stimulate five acupuncture points,LI 4,PC 6,ST 10,ST 12,and SJ 17,was well tolerated and effectively maintained a suitable level of analgesia and hemodynamic stability during total thyroidectomy.

关键词： Electroacupuncture Acupuncture analgesia Graves'disease Thyroidectomy Thyroid surgery b-endorphin

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