Acupuncture compound anesthesia for traditional thyroidectomy: a systematic review and meta-analysis
Objective To assess the efficacy and safety of acupuncture compound anesthesia (ACA) for traditional thyroidectomy. Methods Randomized controlled trials (RCTs) studying the use of ACA for traditional thyroidectomy were retrieved from PubMed, Excerpta Medica Database (EMBASE), Cochrane Library, Web o...
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| Veröffentlicht in: | Journal of acupuncture and tuina science 2023-12, Vol.21 (6), p.500-511 |
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| creator | Ye, Zhe Wang, Dongcai Wu, Haibin Lin, Jiwei Shu, Jicheng |
| description | Objective
To assess the efficacy and safety of acupuncture compound anesthesia (ACA) for traditional thyroidectomy.
Methods
Randomized controlled trials (RCTs) studying the use of ACA for traditional thyroidectomy were retrieved from PubMed, Excerpta Medica Database (EMBASE), Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chongqing VIP Database (CQVIP), Wanfang Academic Journal Full-text Database (Wanfang), and China Biology Medicine Disc (CBM) from inception to September 30, 2021. Two investigators independently extracted data and assessed the risk of bias and quality of the studies. Anesthesia effectiveness was the primary outcome, while the secondary outcomes included various pain scales, vital signs, analgesic consumption, and adverse events. Review Manager 5.3 was used for meta-analysis. Weighted mean difference (WMD), standardized mean difference (SMD), and confidence interval (CI) were used for statistical descriptions.
Results
A total of 16 papers were included, involving 1 228 patients. Meta-analysis showed that anesthesia effectiveness was significantly improved after adding acupuncture as an adjunct [SMD=0.62, 95%CI (0.40, 0.83),
P |
| doi_str_mv | 10.1007/s11726-023-1410-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2918732319</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2918732319</sourcerecordid><originalsourceid>FETCH-LOGICAL-c268t-9a087eb50de3a8270bf327d325f95fd784994ceea033e6a8b00bd5b7681ad75d3</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMouK7-AG8Bz9F8tE3jbVn8ggUveg5pM3WzbJs1SZX-e7NU8ORp5vA-LzMPQteM3jJK5V1kTPKKUC4IKxglxQlaMKUEoUKp07xXkhNRKnmOLmLcUVrKivMFsqt2PIxDm8YAuPX9wY-DxWaAmLYQncGdDzgFY11yfjB7nLZT8M5Cm3w_3WOD4xQT9Ca5Fgf4cvCdaYt7SIaYDEzRxUt01pl9hKvfuUTvjw9v62eyeX16Wa82pOVVnYgytJbQlNSCMDWXtOkEl1bwslNlZ2VdKFW0AIYKAZWpG0obWzayqpmxsrRiiW7m3kPwn2N-Qe_8GPIRUXPFaim4YCqn2Jxqg48xQKcPwfUmTJpRfZSpZ5k6y9RHmbrIDJ-ZmLPDB4S_5v-hH3i_eUw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918732319</pqid></control><display><type>article</type><title>Acupuncture compound anesthesia for traditional thyroidectomy: a systematic review and meta-analysis</title><source>ProQuest Central Essentials</source><source>ProQuest Central (Alumni Edition)</source><source>SpringerNature Journals</source><source>ProQuest Central UK/Ireland</source><source>ProQuest Central</source><creator>Ye, Zhe ; Wang, Dongcai ; Wu, Haibin ; Lin, Jiwei ; Shu, Jicheng</creator><creatorcontrib>Ye, Zhe ; Wang, Dongcai ; Wu, Haibin ; Lin, Jiwei ; Shu, Jicheng</creatorcontrib><description>Objective
To assess the efficacy and safety of acupuncture compound anesthesia (ACA) for traditional thyroidectomy.
Methods
Randomized controlled trials (RCTs) studying the use of ACA for traditional thyroidectomy were retrieved from PubMed, Excerpta Medica Database (EMBASE), Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chongqing VIP Database (CQVIP), Wanfang Academic Journal Full-text Database (Wanfang), and China Biology Medicine Disc (CBM) from inception to September 30, 2021. Two investigators independently extracted data and assessed the risk of bias and quality of the studies. Anesthesia effectiveness was the primary outcome, while the secondary outcomes included various pain scales, vital signs, analgesic consumption, and adverse events. Review Manager 5.3 was used for meta-analysis. Weighted mean difference (WMD), standardized mean difference (SMD), and confidence interval (CI) were used for statistical descriptions.
Results
A total of 16 papers were included, involving 1 228 patients. Meta-analysis showed that anesthesia effectiveness was significantly improved after adding acupuncture as an adjunct [SMD=0.62, 95%CI (0.40, 0.83),
P
<0.0001,
I
2
=36%]. Besides, ACA can also moderate vital signs and reduce the feeling of pain [SMD=−1.61, 95%CI (−2.61, −0.61),
P
<0.00001,
I
2
=95%], analgesic consumption, and adverse events. Subgroup analysis of the electroacupuncture (EA) group further revealed that the effectiveness of low-frequency EA [WMD=0.43, 95%CI (0.30, 0.55),
P
<0.00001,
I
2
=15%] and the entire operative stimulation of EA [WMD=0.55, 95%CI (0.33, 0.77),
P
<0.00001,
I
2
=0%] was significantly better than high-frequency EA and short-time stimulation of EA during the operation. Further, no significant difference existed between conventional analgesia and acupuncture analgesia.
Conclusion
ACA is beneficial to traditional thyroidectomy regarding efficacy and safety when acupuncture is applied as an adjunct. However, additional high-quality studies with larger sample sizes are needed to verify the findings.</description><identifier>ISSN: 1672-3597</identifier><identifier>EISSN: 1993-0399</identifier><identifier>DOI: 10.1007/s11726-023-1410-4</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Acupuncture ; Analgesics ; Medicine ; Medicine & Public Health ; Systematic Review ; Thyroidectomy</subject><ispartof>Journal of acupuncture and tuina science, 2023-12, Vol.21 (6), p.500-511</ispartof><rights>The author(s) 2023</rights><rights>The author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c268t-9a087eb50de3a8270bf327d325f95fd784994ceea033e6a8b00bd5b7681ad75d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11726-023-1410-4$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918732319?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,23256,27924,27925,33530,33703,33744,41488,42557,43659,43787,43805,51319,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Ye, Zhe</creatorcontrib><creatorcontrib>Wang, Dongcai</creatorcontrib><creatorcontrib>Wu, Haibin</creatorcontrib><creatorcontrib>Lin, Jiwei</creatorcontrib><creatorcontrib>Shu, Jicheng</creatorcontrib><title>Acupuncture compound anesthesia for traditional thyroidectomy: a systematic review and meta-analysis</title><title>Journal of acupuncture and tuina science</title><addtitle>J. Acupunct. Tuina. Sci</addtitle><description>Objective
To assess the efficacy and safety of acupuncture compound anesthesia (ACA) for traditional thyroidectomy.
Methods
Randomized controlled trials (RCTs) studying the use of ACA for traditional thyroidectomy were retrieved from PubMed, Excerpta Medica Database (EMBASE), Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chongqing VIP Database (CQVIP), Wanfang Academic Journal Full-text Database (Wanfang), and China Biology Medicine Disc (CBM) from inception to September 30, 2021. Two investigators independently extracted data and assessed the risk of bias and quality of the studies. Anesthesia effectiveness was the primary outcome, while the secondary outcomes included various pain scales, vital signs, analgesic consumption, and adverse events. Review Manager 5.3 was used for meta-analysis. Weighted mean difference (WMD), standardized mean difference (SMD), and confidence interval (CI) were used for statistical descriptions.
Results
A total of 16 papers were included, involving 1 228 patients. Meta-analysis showed that anesthesia effectiveness was significantly improved after adding acupuncture as an adjunct [SMD=0.62, 95%CI (0.40, 0.83),
P
<0.0001,
I
2
=36%]. Besides, ACA can also moderate vital signs and reduce the feeling of pain [SMD=−1.61, 95%CI (−2.61, −0.61),
P
<0.00001,
I
2
=95%], analgesic consumption, and adverse events. Subgroup analysis of the electroacupuncture (EA) group further revealed that the effectiveness of low-frequency EA [WMD=0.43, 95%CI (0.30, 0.55),
P
<0.00001,
I
2
=15%] and the entire operative stimulation of EA [WMD=0.55, 95%CI (0.33, 0.77),
P
<0.00001,
I
2
=0%] was significantly better than high-frequency EA and short-time stimulation of EA during the operation. Further, no significant difference existed between conventional analgesia and acupuncture analgesia.
Conclusion
ACA is beneficial to traditional thyroidectomy regarding efficacy and safety when acupuncture is applied as an adjunct. However, additional high-quality studies with larger sample sizes are needed to verify the findings.</description><subject>Acupuncture</subject><subject>Analgesics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Systematic Review</subject><subject>Thyroidectomy</subject><issn>1672-3597</issn><issn>1993-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMouK7-AG8Bz9F8tE3jbVn8ggUveg5pM3WzbJs1SZX-e7NU8ORp5vA-LzMPQteM3jJK5V1kTPKKUC4IKxglxQlaMKUEoUKp07xXkhNRKnmOLmLcUVrKivMFsqt2PIxDm8YAuPX9wY-DxWaAmLYQncGdDzgFY11yfjB7nLZT8M5Cm3w_3WOD4xQT9Ca5Fgf4cvCdaYt7SIaYDEzRxUt01pl9hKvfuUTvjw9v62eyeX16Wa82pOVVnYgytJbQlNSCMDWXtOkEl1bwslNlZ2VdKFW0AIYKAZWpG0obWzayqpmxsrRiiW7m3kPwn2N-Qe_8GPIRUXPFaim4YCqn2Jxqg48xQKcPwfUmTJpRfZSpZ5k6y9RHmbrIDJ-ZmLPDB4S_5v-hH3i_eUw</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Ye, Zhe</creator><creator>Wang, Dongcai</creator><creator>Wu, Haibin</creator><creator>Lin, Jiwei</creator><creator>Shu, Jicheng</creator><general>Springer Nature Singapore</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20231201</creationdate><title>Acupuncture compound anesthesia for traditional thyroidectomy: a systematic review and meta-analysis</title><author>Ye, Zhe ; Wang, Dongcai ; Wu, Haibin ; Lin, Jiwei ; Shu, Jicheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c268t-9a087eb50de3a8270bf327d325f95fd784994ceea033e6a8b00bd5b7681ad75d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acupuncture</topic><topic>Analgesics</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Systematic Review</topic><topic>Thyroidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ye, Zhe</creatorcontrib><creatorcontrib>Wang, Dongcai</creatorcontrib><creatorcontrib>Wu, Haibin</creatorcontrib><creatorcontrib>Lin, Jiwei</creatorcontrib><creatorcontrib>Shu, Jicheng</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Journal of acupuncture and tuina science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ye, Zhe</au><au>Wang, Dongcai</au><au>Wu, Haibin</au><au>Lin, Jiwei</au><au>Shu, Jicheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acupuncture compound anesthesia for traditional thyroidectomy: a systematic review and meta-analysis</atitle><jtitle>Journal of acupuncture and tuina science</jtitle><stitle>J. Acupunct. Tuina. Sci</stitle><date>2023-12-01</date><risdate>2023</risdate><volume>21</volume><issue>6</issue><spage>500</spage><epage>511</epage><pages>500-511</pages><issn>1672-3597</issn><eissn>1993-0399</eissn><abstract>Objective
To assess the efficacy and safety of acupuncture compound anesthesia (ACA) for traditional thyroidectomy.
Methods
Randomized controlled trials (RCTs) studying the use of ACA for traditional thyroidectomy were retrieved from PubMed, Excerpta Medica Database (EMBASE), Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chongqing VIP Database (CQVIP), Wanfang Academic Journal Full-text Database (Wanfang), and China Biology Medicine Disc (CBM) from inception to September 30, 2021. Two investigators independently extracted data and assessed the risk of bias and quality of the studies. Anesthesia effectiveness was the primary outcome, while the secondary outcomes included various pain scales, vital signs, analgesic consumption, and adverse events. Review Manager 5.3 was used for meta-analysis. Weighted mean difference (WMD), standardized mean difference (SMD), and confidence interval (CI) were used for statistical descriptions.
Results
A total of 16 papers were included, involving 1 228 patients. Meta-analysis showed that anesthesia effectiveness was significantly improved after adding acupuncture as an adjunct [SMD=0.62, 95%CI (0.40, 0.83),
P
<0.0001,
I
2
=36%]. Besides, ACA can also moderate vital signs and reduce the feeling of pain [SMD=−1.61, 95%CI (−2.61, −0.61),
P
<0.00001,
I
2
=95%], analgesic consumption, and adverse events. Subgroup analysis of the electroacupuncture (EA) group further revealed that the effectiveness of low-frequency EA [WMD=0.43, 95%CI (0.30, 0.55),
P
<0.00001,
I
2
=15%] and the entire operative stimulation of EA [WMD=0.55, 95%CI (0.33, 0.77),
P
<0.00001,
I
2
=0%] was significantly better than high-frequency EA and short-time stimulation of EA during the operation. Further, no significant difference existed between conventional analgesia and acupuncture analgesia.
Conclusion
ACA is beneficial to traditional thyroidectomy regarding efficacy and safety when acupuncture is applied as an adjunct. However, additional high-quality studies with larger sample sizes are needed to verify the findings.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><doi>10.1007/s11726-023-1410-4</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1672-3597 1993-0399 |
| language | eng |
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| source | ProQuest Central Essentials; ProQuest Central (Alumni Edition); SpringerNature Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Acupuncture Analgesics Medicine Medicine & Public Health Systematic Review Thyroidectomy |
| title | Acupuncture compound anesthesia for traditional thyroidectomy: a systematic review and meta-analysis |
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