Highlights
- •EA is potentially valuable addition to ERAS for preoperative anxiety.
- •Preoperative EA alleviated anxiety and improved sleep quality.
- •Combination of pre- and intraoperative EA may improve postoperative quality of life.
Abstract
Background
To evaluate the effect of electroacupuncture (EA) based on enhanced recovery after
surgery on preoperative anxiety in patients undergoing breast cancer surgery.
Patients and Methods
This was a single-center, randomized, controlled, single-blind clinical trial. Between
December 2018 and 2019, 144 female undergoing breast conserving surgery were assigned
to conventional (A), preoperative EA (B), intraoperative EA (C), and combination of
preoperative and intraoperative EA (D) groups. Primary outcome was the self-rating
anxiety scale. Secondary outcomes included visual analogue scale, quality of recovery
40, postoperative complications, and acupuncture-related adverse reactions.
Results
141 patients completed the trial. Groups B and D self-rating anxiety scale were significantly
lower than A and C (P < .01); the sleep quality was significantly better (P < .01). The incidence of nausea at 6 hours postoperatively was significantly lower
in group D than other groups (P < .007); the incidence of vomiting at 6 hours postoperatively was better than group
A (P < .007). visual analogue scale at 24 hours postoperatively was significantly different
between groups A, B, and D (P < .01). Quality of recovery 40 total score at 24 hours postoperatively in group D
was significantly higher than A and B (P < .05). The 72-hour postoperative emotional state was most significantly improved
in group D (P < .05), while groups B and C showed interactive effect (P < .05).
Conclusion
Preoperative EA alleviated anxiety in the preoperative waiting area, and improved
sleep quality. Combination of preoperative and intraoperative EA may be more effective
in improving postoperative quality of life.
Trial registration
Chinese Clinical Trial Registry, ChiCTR1800019979. Registered on December 10, 2018.
(http://www.chictr.org.cn/edit.aspx?pid=27653&htm=4).
Keywords
Abbreviations:
ERAS (Enhanced recovery after surgery), SAS (Self-rating anxiety scale), VAS (Visual Analogue Scale), TCM (Traditional Chinese medicine), PONV (Postoperative nausea and vomiting)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: April 29, 2022
Accepted:
April 25,
2022
Received:
February 9,
2022
Footnotes
Qiu-yu Tong and Ran Liu contributed equally to this work as first authors.
Identification
Copyright
© 2022 Published by Elsevier Inc.
