耳灸联合腕踝针对全麻腹腔镜阑尾切除术后镇痛的临床研究

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Clinical Study of Auricular Moxibustion Combined withWrist and Ankle Acupuncture for Postoperative Analgesia after Laparoscopic Appendectomy under General Anesthesia/JIANG Tingting， QULiangchao，ZENG Shuqiong，ZHANG Yu， ZHANG Chunxia.//Medical Innovation of China，2025， 22（24）： 037-041

[Abstract] Objective：To investigate the efects of auricular moxibustion combined with wrist and ankle acupuncture on postoperative analgesia after laparoscopic appendectomy （LA） under general anesthesia.Method： A total of O patientswho underwent generalanesthesiaLAatJiujiang HospitalofTraditional Chinese Medicine from December 2023 to June 2O24 were selected and randomly divided into combined group （n=40）and western medicine group n=40 ）.Both groups received general anesthesia LA.The western medicine group received basic analgesic treatment，while the combined group received auricular moxibustioncombined with wrist and ankle acupuncture on the basis of the westernmedicine group.Thelevelsof pain mediators，pain degree，comfort degree，clinical efficacy andincidenceofadversereactions werecomparedbetweenthetwo groups.Result：At6，12，24haftersurgery，the * 基金项目：九江市科技计划项目（S2023ZDYFN667）

levels of prostaglandin E2（PGE2） ， 5-hydroxytryptamine （5-HT），substance P， dopamine （DA） and VAS scores in the combined group were lower than those of the western medicine group，the Bruggrmann comfort scale （BCS） score washigher thanthatof the westernmedicine group（ P <0.05）.The total effectiverateof analgesia in thecombined group （95.00% ）was higher than that in the western medicine group （80.00% ） P <0.05）. The incidence of adverse reactions in the combined group 7.50% ）waslower than that in the western medicine group 25.00% ） P <0.05）. Conclusion： Auricular moxibustion combined with wrist and ankle acupuncture has significant analgesic ffect on patients after LAunder general anesthesia，and can efectively reduce the occurrence of nauseaand vomiting and other adverse reactions.

[Keywords]Auricular moxibustion Wrist and ankle acupuncture General anesthesia Laparoscopic appendectomy Postoperative analgesia

First-author'saddress：Departmentof Anesthesiology，Jiujiang Hospital of Traditional Chinese Aedicine，Jiujiang 33200o， China doi：10.3969/j.issn.1674-4985.2025.24.009

急性阑尾炎是常见的外科急腹症，具有起病急、病情进展迅速、变化复杂等特点，临床常表现为转移性右下腹部疼痛，有些患者还会出现胃肠道症状，若不及时治疗，持续的局部炎症常会导致阑尾穿孔及坏疽[-2]。（剩余6466字）