Application Effects of Wrist-Ankle Acupuncture in Patients With Different Types of Pain Following Perianal Surgery

Официальное название

Application of Wrist-Ankle Acupuncture in Patients With Different Types of Pain Following Perianal Surgery: A Prospective Cohort Study

Обзор

This study is a prospective clinical observation designed to evaluate the analgesic effect of wrist-ankle acupuncture in patients with different types of pain after perianal surgery, as well as its applicability. A total of 60 eligible postoperative patients were enrolled, with inclusion criteria including age 18-75 years, postoperative Visual Analog Scale (VAS) score ≥4, clear consciousness, and signed informed consent. Exclusion criteria included pregnancy, history of needle fainting, skin lesions at the wrist or ankle, severe systemic diseases, inability to cooperate with follow-up, or participation in other clinical trials. Patients were divided into two groups according to the nature of pain: Group A (sphincter spasm pain, n=30) and Group B (acute incisional pain, n=30). All patients received routine postoperative care (including intravenous flurbiprofen infusion, traditional Chinese medicine soaking, and pain education), and wrist-ankle acupuncture was administered when pain intensity (Verbal Rating Scale, VRS) reached ≥4. The acupuncture method involved superficial subcutaneous insertion in zones 1 and 6 of both lower limbs using disposable sterile needles (0.25 mm × 25 mm). Needles were retained for 0.5-1 hour, once daily, with the treatment course adjusted based on symptom relief. If the VAS score remained ≥4 at 30 minutes post-treatment, adjunctive analgesic medication was administered as prescribed. Observation indicators included postoperative VRS scores, reduction in VAS scores at 5 and 30 minutes after wrist-ankle acupuncture treatment, frequency of analgesic medication use within the first 3 postoperative days, and the Clinical Postoperative Urinary Retention (POUR) score at 24 hours post-surgery. By comparing data between the two groups, the analgesic effect of wrist-ankle acupuncture was analyzed, and the influence of postoperative pain on the occurrence of urinary retention was explored.

Вмешательства

• Устройство wrist-ankle acupuncture
  Patients received routine postoperative care, including intravenous infusion of flurbiprofen (50 mg, twice daily), herbal sitz baths, and pain management education. When a patient's Verbal Rating Scale (VRS) score reached ≥4 points, Wrist-Ankle Acupuncture therapy was administered. The procedure involved superficial subcutaneous insertion of disposable sterile needles (0.25 mm × 25 mm) at zones 1 and 6 of both lower limbs. The needle body was inserted subcutaneously, leaving approximately 1-2 mm

Первичные конечные точки

• Postoperative pain intensity [Срок оценки: During the hospitalization period]

Вторичные конечные точки (2)

• Analgesic Medication Frequency [Срок оценки: During the hospitalization period]
• Clinical Postoperative Urinary Retention (POUR) Score [Срок оценки: 7days postoperativelyacupuncture administration.]

Критерии участия

Критерии включения

• Aged between 18 and 75 years;
• Patients who underwent perianal surgery;
• Visual Analog Scale (VAS) score ≥4;
• Clear consciousness with the ability to articulate their sensations;
• Voluntary participation with signed informed consent.

Критерии исключения

• Pregnant or lactating patients;
• Patients with a history of needle fainting or needle phobia;
• Patients with incomplete skin integrity at the wrist or ankle;
• Patients with comorbid systemic diseases, such as cardiac insufficiency or coagulation disorders;
• Patients unable to cooperate with follow-up;
• Patients currently participating in other clinical trials that may influence the outcomes of this study.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Китай · 1 центр

• Affiliated Hospital of Putian University — Putian

Идентификаторы

NCT: NCT07340307 · AHPutianU-015

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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