Objectifying acupuncture effects by lung function and numeric rating scale in patients undergoing heart surgery

Abstract

Rationale. Poststernotomy pain and impaired breathing are common clinical problems in early postoperative care following heart surgery. Insufficiently treated pain increases the risk of pulmonary complications. High-dose opioids are used for pain management, but they may cause side effects such as respiratory depression. Study Design. We performed a prospective, randomized, controlled, observer-blinded, three-armed clinical trial with 100 patients. Group 1 ( = 33) and Group 2 ( = 34) received one 20 min session of standardized acupuncture treatment with two different sets of acupoints. Group 3 ( = 33) served as standard analgesia control without additional intervention. Results. Primary endpoint analysis revealed a statistically significant analgesic effect for both acupuncture treatments. Group 1 showed a mean percentile pain reduction (PPR) of 18% (SD 19, < 0.001). Group 2 yielded a mean PPR of 71% (SD 13, < 0.001). In Group 1, acupuncture resulted in a mean forced vital capacity (FVC) increase of 30 cm 3 (SD 73) without statistical significance ( = 0.303). In Group 2, posttreatment FVC showed a significant increase of 306 cm 3 (SD 215, < 0.001). Conclusion. Acupuncture revealed specific analgesic effects after sternotomy. Objective measurement of poststernotomy pain via lung function test was possible.

Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…Similarly, pooled results from 24 trials showed that body APS significantly improved VAS scores in comparison with all control groups ( P < 0.00001), and subgroup analyses revealed similar improvement compared with standard treatment ( P < 0.00001) and sham/placebo control ( P < 0.0001; Table 5 ). The evidence for body points APS reducing postoperative pain intensity in surgery patients was determined to be of Level I quality based on six overall high quality RCTs [ 14 , 23 , 47 , 49 , 52 , 58 ]. A meta-analysis of pooled results and subgroup analyses of body EA, as well as invasive and noninvasive forms of this treatment, yielded similar results ( Table 5 ).…”