標題: The Efficacy of Acupuncture in Post-Operative Pain Management: A Systematic Review and Meta-Analysis
作者: Wu, Ming-Shun
Chen, Kee-Hsin
Chen, I-Fan
Huang, Shihping Kevin
Tzeng, Pei-Chuan
Yeh, Mei-Ling
Lee, Fei-Peng
Lin, Jaung-Geng
Chen, Chiehfeng
科技管理研究所
Institute of Management of Technology
公開日期: 9-Mar-2016
摘要: Background Postoperative pain resulting from surgical trauma is a significant challenge for healthcare providers. Opioid analgesics are commonly used to treat postoperative pain; however, these drugs are associated with a number of undesirable side effects. Objective This systematic review and meta-analysis evaluated the effectiveness of acupuncture and acupuncture-related techniques in treating postoperative pain. Data Source MEDLINE, Cochrane Library, and EMBASE databases were searched until Sep 30, 2014. Study Eligibility Criteria Randomized controlled trials of adult subjects (>= 18 years) who had undergone surgery and who had received acupuncture, electroacupuncture, or acupoint electrical stimulation for managing acute post-operative pain were included. Results We found that patients treated with acupuncture or related techniques had less pain and used less opioid analgesics on Day 1 after surgery compared with those treated with control (P < 0.001). Sensitivity analysis using the leave-one-out approach indicated the findings are reliable and are not dependent on any one study. In addition, no publication bias was detected. Subgroup analysis indicated that conventional acupuncture and transcutaneous electric acupoint stimulation (TEAS) were associated with less postoperative pain one day following surgery than control treatment, while electroacupuncture was similar to control (P = 0.116). TEAS was associated with significantly greater reduction in opioid analgesic use on Day 1 post surgery than control (P < 0.001); however conventional acupuncture and electroacupuncture showed no benefit in reducing opioid analgesic use compared with control (P >= 0.142). Conclusion Our findings indicate that certain modes of acupuncture improved postoperative pain on the first day after surgery and reduced opioid use. Our findings support the use of acupuncture as adjuvant therapy in treating postoperative pain.
URI: http://dx.doi.org/10.1371/journal.pone.0150367
http://hdl.handle.net/11536/133481
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0150367
期刊: PLOS ONE
Volume: 11
Issue: 3
起始頁: 0
結束頁: 0
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