Description All of them (n=17) received electro-stimulation (2-4 Hz) using single needles inserted at bilateral LI4 and PC6.
Sample Count
17
Age
20-83
Experiment
Acupuncture(n=17)
Indicator
Numeric rating scale(NRS)Visual analog scale(VAS)Adverse drug events
Auxiliary Medication
The patients received local anesthesia (LA) at the exci- sion sites and intermittent intravenous anxiolytics and analgesics, with the dosage adjusted and titrated by an anesthetist, taking account of patient-reported pain, anxiety, blood pressure and heart rate.
Stimulation Method
EA
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
-
-
2-4 Hz(bilateral LI4 and PC6);30 Hz(the lump site)
-
-
The electrical stimulation was started 60 min before the surgery and was continued until the end of the surgery.
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
0.3×40 mm
Huan Qiu, China
-
Description All of them (n=17) received electro-stimulation (2-4 Hz) using single needles inserted at bilateral LI4 and PC6. They also underwent insertion of four acupuncture needles at the lump site, which were electrically stimulated at 30 Hz frequency.
Anesthesia Method
AAA
Clinical Trial Type
Adverse Effects
No adverse events were detected when the patientswere in the hospital, except for a case of drowsiness.Furthermore, only one patient reported experiencingmild PONV after being discharged from the hospital.
Contraindications
Psychiatric problems or needle phobia
Effector
All surgical procedures were successful with minimal use of analgesics and local anesthetic. The median pain score reported was 1/10 (interquartile range (IQR) 1 4 2/10) at the first hour, and slightly increased to 2/10 (IQR 1 4 2/10) between 24 and 48 h of the surgery. No major postoperative adverse events were documented, except for drowsiness in one case. AAA was found to be generally safe and effective for anaesthesia and analgesia in breast lump excision. However, a large-scale randomized controlled study is required to verify the findings.
A Malaysian retrospective study of acupuncture-assisted anesthesia in breast lump excision.
Abstract
INTRODUCTION: The objective of this retrospective study was to evaluate the effectiveness and safety of acupuncture-assisted anesthesia (AAA) in breast lump excision. METHODS: The medical records of all patients who underwent breast lump excision under AAA in combination with electrical stimulation at traditional acupuncture points in 2016 were examined. All of them (n = 17) received electrostimulation (2-4 Hz) using single needles inserted at bilateral LI4 and PC6. They also underwent insertion of four acupuncture needles at the lump site, which were electrically stimulated at 30 Hz frequency. RESULTS: All surgical procedures were successful with minimal use of analgesics and local anesthetic. The median pain score reported was 1/10 (interquartile range (IQR) = 2/10) at the first hour, and slightly increased to 2/10 (IQR = 2/10) between 24 and 48 h of the surgery. No major postoperative adverse events were documented, except for drowsiness in one case. CONCLUSION: AAA was found to be generally safe and effective for anaesthesia and analgesia in breast lump excision. However, a large-scale randomized controlled study is required to verify the findings."
Souce
Acupunct Med. 2021 Feb;39(1):64-68. doi: 10.1177/0964528420920307. Epub 2020 Jun 15.
