{"id":1183,"date":"2015-10-31T09:35:23","date_gmt":"2015-10-31T09:35:23","guid":{"rendered":"http:\/\/www.ahmadfanaei.com\/en\/?post_type=post&amp;p=1183"},"modified":"2015-10-31T09:35:23","modified_gmt":"2015-10-31T09:35:23","slug":"effects-of-acupuncture-after-thyroid-surgery","status":"publish","type":"post","link":"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/","title":{"rendered":"The effects of acupuncture after thyroid surgery: A randomized, controlled trial"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-flat ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/#Background\" >Background<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/#Methods\" >Methods<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/#Results\" >Results<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/#Reference\" >Reference<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Background\"><\/span>Background<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Thyroidectomy represents one of the most frequent procedures in endocrine surgery. Postoperative pain in patients undergoing thyroidectomy is the result of superficial incision, tissue dissection, and neck position during surgery. It needs appropriate control during the first days after the procedure. Administration of opioids and\/or nonopioid drugs is often required, with frequent worsening of anesthetics-induced nausea and vomiting, and other side effects.<br \/>\nAlternative medicine may offer additional options for adequate management of postoperative pain. Acupuncture, a component of traditional Chinese medicine, is a well-known alternative and widely used treatment for pain, especially in Asian countries. In recent years, an increased use of acupuncture has been observed also in Western countries; the National Institutes of Health and the World Health Organization have recognized the safety and efficacy of the procedure for the treatment of neck pain. Thus, several clinical trials evaluating the efficacy of acupuncture as adjuvant method for postoperative analgesia have been published.<br \/>\nConflicting results have been reported, and probably owing to the heterogeneity in acupuncture techniques that may consistently vary according to the site, timing and type of stimulation. In fact, electric, chemical, or physical stimulations have been also used in several studies to increase the effectiveness of the procedure.<br \/>\nThis randomized, controlled trial evaluated the effectiveness of acupuncture in reducing pain in patients undergoing thyroid surgery.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Methods\"><\/span>Methods<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>We randomized 121 patients to a control group (undergoing only standard postoperative analgesic treatment with acetaminophen) and an acupuncture group, undergoing also either electroacupuncture (EA) or traditional acupuncture (TA). Pain was measured according to intraoperative remifentanil use, acetaminophen daily intake, Numeric Rating Scale (NRS), and McGill Pain Questionnaire on postoperative days (POD).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Results\"><\/span>Results<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Acupuncture group required less acetaminophen than controls at POD 2 (P = 0.01) and 3 (P = 0.016). EA patients required less remifentanil (P = 0.032) and acetaminophen than controls at POD 2 (P = 0.004) and 3 (P = 0.008). EA patients showed a trend toward better NRS and McGill scores from POD 1 to 3 compared with controls. EA patients had a lower remifentanil requirement and better NRS and McGill scores than TA patients. No differences occurred between TA patients and controls.<br \/>\nConclusion<br \/>\nAcupuncture may be effective in reducing pain after thyroid surgery. EA is more useful; TA achieves no significant effects.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Reference\"><\/span>Reference<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25456960\" target=\"_blank\">Maurizio Iacobone, Marilisa Citton, Simone Zanella, Marco Scarpa, Giulia Pagura, Saveria Tropea, et al., &#8220;The effects of acupuncture after thyroid surgery: A randomized, controlled trial&#8221;, Surgery, vol. 156, no. 6, pp. 1605-1613, 2014.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background Thyroidectomy represents one of the most frequent procedures in endocrine surgery. Postoperative pain in &#8230; <a class=\"cz_readmore\" href=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/\"><i class=\"far fa-square-plus\" aria-hidden=\"true\"><\/i><span>\u0627\u062f\u0627\u0645\u0647 \u0645\u0637\u0644\u0628<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":1184,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1183","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The effects of acupuncture after thyroid surgery: A randomized, controlled trial - Dr.Ahmad Fanaei<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The effects of acupuncture after thyroid surgery: A randomized, controlled trial\" \/>\n<meta property=\"og:description\" content=\"Background Thyroidectomy represents one of the most frequent procedures in endocrine surgery. Postoperative pain in ... \u0627\u062f\u0627\u0645\u0647 \u0645\u0637\u0644\u0628\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ahmadfanaei.com\/en\/effects-of-acupuncture-after-thyroid-surgery\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr.Ahmad Fanaei\" \/>\n<meta property=\"article:published_time\" content=\"2015-10-31T09:35:23+00:00\" \/>\n<meta name=\"author\" content=\"mohammad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mohammad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/\"},\"author\":{\"name\":\"mohammad\",\"@id\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/#\\\/schema\\\/person\\\/01c9b8a50e9a062128f09bd42cb0401b\"},\"headline\":\"The effects of acupuncture after thyroid surgery: A randomized, controlled trial\",\"datePublished\":\"2015-10-31T09:35:23+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/\"},\"wordCount\":403,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/\",\"url\":\"https:\\\/\\\/ahmadfanaei.com\\\/en\\\/effects-of-acupuncture-after-thyroid-surgery\\\/\",\"name\":\"The effects of acupuncture after thyroid surgery: A randomized, controlled trial - 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