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Electroacupuncture for Pain Relief After Endoscopic Sinus Surgery: A Randomized Controlled Trial
Hongyu Yue1, Fei Yao2, Xuan Yin1
1Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
The Journal of Pain
|June 22, 2023
Summary
Electroacupuncture (EA) effectively reduces postoperative pain following endoscopic sinus surgery (ESS). This study found EA superior to sham treatment for pain relief on postoperative days 1 and 2, improving recovery and sleep quality without severe adverse events.
Area of Science:
- Pain Management
- Surgical Recovery
- Integrative Medicine
Background:
- Postoperative pain is a significant challenge after endoscopic sinus surgery (ESS).
- Electroacupuncture (EA) is a recognized therapy for pain relief, but its efficacy in ESS patients remained uninvestigated.
- This study addresses the need for evidence-based pain management strategies post-ESS.
Purpose of the Study:
- To evaluate the efficacy and safety of electroacupuncture (EA) compared to a sham control for postoperative pain management after endoscopic sinus surgery (ESS).
- To assess the impact of EA on pain intensity, physiological stability, and recovery metrics in ESS patients.
Main Methods:
- A randomized, patient-and-assessor blinded trial involving 62 patients undergoing ESS.
- Participants were allocated to receive either EA or sham EA for 5 sessions over 4 days.
- Pain intensity was measured using a numerical rating scale; physiological parameters and recovery were assessed via actigraphy and quality of recovery scores.
Main Results:
- The EA group demonstrated significantly greater pain reduction on postoperative days 1 and 2 compared to the sham group (P < .001).
- EA treatment was associated with a more stable intraoperative heart rate and mean blood pressure.
- Improvements were observed in nighttime waking, anesthesia recovery time, and quality of recovery-15 in the EA group.
Conclusions:
- Electroacupuncture (EA) serves as an effective adjuvant therapy for managing postoperative pain and enhancing recovery after endoscopic sinus surgery (ESS).
- EA shows a favorable safety profile, with no severe adverse events reported.
- This trial provides the first evidence supporting EA for pain and symptom management in the context of ESS.
