Objective

2

To observe the short-term effect of acupuncture in multimodal analgesia after posterior lumbar interbody fusion (PLIF) in patients with lumbar degenerative diseases.

Methods

2

A total of 60 patients with lumbar degenerative diseases undergoing PLIF under general anesthesia were randomly divided into an observation group and a control group

with 30 cases in each one. In the control group

the patients received routine postoperative treatment and patient-controlled intravenous analgesia (PCIA). In the observation group

on the basis of the measures as the control group

the patients received acupuncture within 24 h after operation. The acupoints were bilateral Yaotongdian (EX-UE7)

Hegu (LI4)

Houxi (SI3)

Yanglingquan (GB34)

Zusanli (ST36)

Sanyinjiao (SP6) and Taixi (KI3). Acupuncture was operated 30 min each time

once daily and for consecutive 7 days. The total PCIA consumption within 48 h after operation

and the number of patients taking etoricoxib tablets during the trial were recorded in the two groups. Before treatment

after 3 days of treatment and after 7 days treatment

the scores of visual analogue scale (VAS)

lumbar function of Japanese Orthopaedic Association scale (JOA) and 15-item quality of recovery (QOR-15) scale were observed separately in the two groups. The postoperative hospital stay was recorded in the two groups.

Results

2

Compared with the control group

the total PCIA consumption at 0-24 h and 24-48 h after operation and the number of patients taking etoricoxib tablets were reduced in th

e observation group (

P

<

0.05). After 3 days of treatment

compared with before treatment

VAS scores decreased (

P

<

0.05)

JOA scores and QOR-15 scores increased (

P

<

0.05) in each group. After 7 days of treatment

compared with before treatment and after 3 days of treatment

VAS scores were reduced (

P

<

0.05)

JOA and QOR-15 scores were elevated in each group (

P

<

0.05). After 3 and 7 days of treatment

compared with the control group

VAS scores were lower (

P

<

0.05)

while JOA and QOR-15 scores were higher in the observation group (

P

<

0.05). The difference in postoperative hospital stay was not significant statistically between the two groups (

P

>

0.05).

Conclusion

2

Acupuncture can reduce the consumption of analgesic drugs

relieve pain and accelerate postoperative recovery after PLIF in a short time.