Objective: To investigate the effect of auricular acupuncture on postoperative pain and gastrointestinal motility recovery after laparoscopic surgery for colorectal cancer. Methods: The clinical data of patients who underwent laparoscopic radical surgery for colorectal cancer in our hospital from April 2020 to December 2021 were collected. Based on the inclusion and exclusion criteria, 76 patients were included in the retrospective analysis. Depending on whether they received auricular acupuncture or not, the patients were divided into two groups: 46 patients in the experimental group (auricular acupuncture) and 30 patients in the control group. The differences between the two groups were analyzed. Results: The time to first flatus of the experimental group was significantly shorter than that of the control group (52.2 ± 7.36 h versus 66.3 ± 7.83 h; P < 0.001). Similarly, the time to first defecation of the experimental group was significantly shorter than that of the control group (76.3 ± 7.76 h versus 86.1 ± 10.79 h; P < 0.001). The time to first fluid intake of the auricular group was significantly shorter than that of the control group (90.4 ± 8.92 h versus 107.3 ± 9.66 h, P < 0.001). Compared with the control group, the experimental group scored significantly lower on the visual analogue scale on postoperative days 2 and 3 (P < 0.001). Conclusion: Auricular acupuncture is an effective traditional Chinese medicine external treatment method. It can promote gastrointestinal motility recovery in patients after laparoscopic radical surgery for colorectal cancer and also reduce postoperative pain and discomfort. Furthermore, this therapy is easy to operate and well-accepted by patients. Therefore, it should be strongly promoted in clinical practice.
Zhang W, Zhang H, Wang SM, et al., 2022, Perioperative Acupuncture Optimizes Surgical Outcomes: Theory, Clinical Practice and Future Perspectives. Am J Chin Med, 50(4): 961–978.
Usichenko TI, Henkel BJ, Klausenitz C, et al., 2022, Effectiveness of Acupuncture for Pain Control After Cesarean Delivery: A Randomized Clinical Trial. JAMA Netw Open, 5(2): e220517.
Yang WJ, Shao JK, Wang Y, et al., 2022, Effect of Acupuncture on Postoperative Ileus After Laparoscopic Elective Colorectal Surgery: A Prospective, Randomised, Controlled Trial. E Clinical Medicine, 49: 101472.
Yin X, Li W, Liang T, et al., 2022, Effect of Electroacupuncture on Insomnia in Patients with Depression: A Randomized Clinical Trial. JAMA Netw Open, 5(7): e2220563.
Chen Y, Liu B, Gong W, et al., 2020, Auricular Acupuncture for Migraine: A Protocol for Systematic Review and Meta-Analysis. Medicine (Baltimore), 99(44): e23036.
Hoxtermann MD, Buner K, Haller H, et al., 2021, Efficacy and Safety of Auricular Acupuncture for the Treatment of Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial. Cancers (Basel), 13(16): 4082.
Zhou J, Li S, Wang Y, et al., 2017, Effects and Mechanisms of Auricular Electroacupuncture on Gastric Hypersensitivity in a Rodent Model of Functional Dyspepsia. PLoS One, 12(3): e0174568.
Gao J, Wu G, Zhao H, 2020, Auricular Acupuncture for Breast Cancer-Related Depression: A Protocol for Systematic Review and Meta-Analysis. Medicine (Baltimore), 99(45): e22870.
Bier ID, Wilson J, Shakleton M, 2002, Auricular Acupuncture, Education, and Smoking Cessation: A Randomized, Sham-Controlled Trial. Am J Public Health, 92(10): 1642–1647.
Mao JJ, Liou KT, Baser RE, et al., 2021, Effectiveness of Electroacupuncture or Auricular Acupuncture Vs Usual Care for Chronic Musculoskeletal Pain Among Cancer Survivors: The PEACE Randomized Clinical Trial. JAMA Oncol, 7(5): 720–727.
Liu M, Sung L, Liao YS, et al., 2021, The Efficacy and Safety of Auricular Acupuncture Versus Electroacupuncture in Ameliorating Chemotherapy-Induced Nausea and Vomiting Among Patients Receiving Cisplatin-Based Regimens. Medicine (Baltimore), 100(7): e24588.
Hou PW, Hsu HC, Lin YW, et al., 2015, The History, Mechanism, and Clinical Application of Auricular Therapy in Traditional Chinese Medicine. Evid Based Complement Alternat Med, 2015: 495684.
Kung YY, Yang CCH, Chiu JH, et al., 2011, The Relationship of Subjective Sleep Quality and Cardiac Autonomic Nervous System in Postmenopausal Women with Insomnia Under Auricular Acupressure. Menopause, 18(6): 638–645.
Tan Y, Zhao Y, He T, et al., 2016, Efficacy and Safety of Auricular Point Acupressure Treatment for Gastrointestinal Dysfunction After Laparoscopic Cholecystectomy: Study Protocol for a Randomized Controlled Trial. Trials, 17(1): 280.
Santoro A, Nori SL, Lorusso L, et al., 2015, Auricular Acupressure Can Modulate Pain Threshold. Evid Based Complement Alternat Med, 2015: 457390.
He BJ, Tong PJ, Li J, et al., 2013, Auricular Acupressure for Analgesia in Perioperative Period of Total Knee Arthroplasty. Pain Med, 14(10): 1608–1613.
Yeh M-L, Hung Y-L, Chen H-H, et al., 2013, Auricular Acupressure for Pain Relief in Adolescents with Dysmenorrhea: A Placebo-Controlled Study. J Altern Complement Med, 19(4): 313–318.
Haddad NN, Bruns BR, Enniss TM, 2017, Perioperative Use of Nonsteroidal Anti-Inflammatory Drugs and the Risk of Anastomotic Failure in Emergency General Surgery. J Trauma Acute Care Surg, 83(4): 657–661.
Kowalsky SJ, Zenati MS, Steve J, et al., 2018, Ketorolac Use May Increase Risk of Postoperative Pancreatic Fistula After Pancreaticoduodenectomy. J Surg Res, 221: 43–48.
Zhong Q, Wang D, Bai Y, et al., 2019, Effectiveness of Auricular Acupressure for Acute Postoperative Pain after Surgery: A Systematic Review and Meta-Analysis. Chin J Integr Med, 25(3): 225–232.