Objective:This study evaluated the effectiveness of acupuncture treatment on postoperative pain in patients with degenerative lumbar spine disease,and explored the relationship between the postopera-tive analgesic effect of acupuncture and the sensation of acupuncture experienced by the patients.Methods:This retrospective study analyzed the medical records of 97 patients who had undergone an operation by the same surgeon due to degenerative lumbar disease.These patients were divided into acupuncture group(n=32),patient-controlled analgesia(PCA)group(n=27),and oral analgesia group(n=38)according to the different postoperative analgesic methods.During their hospitalization,patients completed daily evaluations of their pain using a visual analogue scale(VAS),and injection times of sup-plemental meperidine were recorded.Also,the Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scale(C-MASS)was used in the acupuncture group.Results:Each of the three treatment groups showed significant reductions in postoperative pain,as shown by reduced VAS scores.The acupuncture group,however,had less rebound pain(P＜0.05)than the other two groups.Both the acupuncture and PCA groups experienced acute analgesic effects that were superior to those in the oral analgesia group.In addition,the higher the C-MASS index on the second day after surgery,the lower the VAS score on the fourth day after surgery.There was also a significant difference in the"dull pain"in the acupuncture sensation.Conclusion:The results demonstrated that acupuncture was beneficial for postoperative pain and dis-comfort after simple surgery for degenerative spinal disease.It is worth noting that there was a dispro-portionate relevance between the patient's acupuncture sensation and the improvement of pain VAS score.

Yen-Lin Chao;Yi-Ai Rau;Hong-Sheng Shiue;Jiun-Lin Yan;Yuan-Yun Tang;Shao-Wen Yu;Bo-Yan Yeh;Yen-Lung Chen;Tsung-Hsien Yang;Shu-Chen Cheng;Yi-Wen Hsieh;Hsin-Chia Huang;Fu-Kuang Tsai;Yu-Sheng Chen;Geng-Hao Liu

Division of Acupuncture and Moxibustion,Department of Traditional Chinese Medicine,Chang Gung Memorial Hospital,Taoyuan 333,Taiwan,China;School of Traditional Chinese Medicine,College of Medicine,Chang Gung University,Taoyuan 333,Taiwan,China;Department of Neurosurgery,Keelung Chang Gung Memorial Hospital,Keelung 204,Taiwan,China;Department of Traditional Chinese Medicine,New Taipei Municipal TuCheng Hospital,Chang Gung Memorial Hospital,New Taipei 236,Taiwan,China;Sleep Center,Chang Gung Memorial Hospital,Taoyuan 333,Taiwan,China

结合医学学报（英文版）

[1]Yen-Lin Chao;Yi-Ai Rau;Hong-Sheng Shiue;Jiun-Lin Yan;Yuan-Yun Tang;Shao-Wen Yu;Bo-Yan Yeh;Yen-Lung Chen;Tsung-Hsien Yang;Shu-Chen Cheng;Yi-Wen Hsieh;Hsin-Chia Huang;Fu-Kuang Tsai;Yu-Sheng Chen;Geng-Hao Liu-.Using a consensus acupoints regimen to explore the relationship between acupuncture sensation and lumbar spinal postoperative analgesia:A retrospective analysis of prospective clinical cooperation)[J].结合医学学报（英文版）,2022(04):329-337

postopera,plemental,meperidine,dull,dispro,portionate

Using,consensus,acupoints,regimen,relationship,between,acupuncture,sensation,lumbar,spinal,postoperative,analgesia,retrospective,analysis,prospective,clinical,cooperation,Objective,This,study,evaluated,effectiveness,treatment,pain,patients,degenerative,spine,disease,explored,analgesic,experienced,by,Methods,analyzed,medical,records,who,had,undergone,same,surgeon,due,These,were,divided,into,controlled,oral,according,different,methods,During,their,hospitalization,completed,daily,evaluations,using,visual,analogue,scale,VAS,injection,times,recorded,Also,Chinese,version,Massachusetts,General,Hospital,Acupuncture,Sensation,Scale,MASS,was,used,Results,Each,three,groups,showed,significant,reductions,shown,reduced,scores,however,less,rebound,than,other,two,Both,acute,effects,that,superior,those,In,addition,higher,second,day,after,surgery,lower,fourth,There,also,difference,Conclusion,results,demonstrated,beneficial,comfort,simple,It,worth,noting,there,relevance,improvement

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