Effect of Fu's Subcutaneous Needling on Postoperative Acute Pain in Patients With Lumbar Spine Surgery.

China Medical University Hospital49 enrolled

Overview

The goal of this clinical trial is to evaluate Fu's Subcutaneous Needling (FSN) in postoperative pain in patients with Lumbar Spine Surgery (LSS). The main questions it aims to answer are: * Is FSN effective for postoperative pain? * Dose FSN decrease the tissue hardness after LSS? * Dose FSN have the effect of anti-inflammatory after LSS? Participants will receive routine analgesic and FSN after LSS. Researchers will compare Sham group to see if FSN being effective for postoperative pain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Pain, Postoperative

Interventions

Fu's Subcutaneous Needling(FSN)DEVICE

Insertion points are both sides of 1) inferior edge of the scapula; 2)the midpoint of inferior edge of the posterior superior iliac spine and the ischial tuberosity. FSN (Trocar Acupuncture Needle, Nanjing FSN Medical Co. , Ltd, China.) ) is a solid needle with plastic cannula tube on the outside. Add on swaying movement (SM) and reperfusion approach (RA) after the needle inserting into the subcutaneous layer. The SM is a horizontal fan sway movement with the base of the needle for the fulcrum, The SM speed is 200 times in 2 minutes. Apply RA when performing SM. RA movement is hip extension in prone position with resistance by physician's hand for 10 seconds. And then rest for 10 seconds. Repeat 3 cycles. The same RA is performed over the other three insertion point.

fine acupuncture needleDEVICE

(36G, 0.5 inch, Wujiang city cloud \& dragon medical device Co.,Ltd.) Only inserted to skin, not into the subcutaneous layer. No SM and RA.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 85 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Pain and neurological symptoms are caused by degeneration of the spine (L1-S1) and require surgery. * One hour after lumbar spine surgery (evaluated after returning to the ward from the recovery room) Visual analogue scale (VAS) score ≥ 5 points * After being explained, join the trial voluntarily and sign the subject's consent form. Exclusion Criteria: * Pain caused by acute trauma. * major diseases such as heart and lung failure, cancer, chronic kidney disease. * psychiatric disorder. * History of substance abuse. * A history of spinal surgery. * Refused sign the consent form.

Locations (1)

China Medical University Hsinchu Hospital

Zhubei, Hsinchu County, Taiwan

Outcomes

Primary Outcomes

Change of Taiwanese version of the Brief Pain Inventory (BPI-T) Short Form

BPI-T Short Form

Time frame: Change from Baseline BPI-T at the 1st、24th、48th、72nd hour after surgery.

The total dosage of analgesic drug

opioid drug (Pethidine 50mg/vail)

Time frame: The amount of intravenous opioid drug (Pethidine 50mg/vail) within 72 hours after surgery.

Secondary Outcomes

Change of Blood serum C-reactive protein (CRP)

Biochemistry

Time frame: Change from Baseline CRP at the 24th, 72nd hour, 1st month after surgery.

Change of Blood serum IL-1ẞ、IL-2、IL-6

Biochemistry

Time frame: Change from Baseline IL-1ẞ、IL-2、IL-6 at the 24th, 72nd hour, 1st month after surgery.

Change of Blood serum TNF-α

Biochemistry

Time frame: Change from Baseline TNF-α at the 24th, 72nd hour, 1st month after surgery.

Change of Tissue hardness (TH)

The points for measuring TH were the inferior border of the scapula, two centimeters horizontal from the midline of the L3 level, and the gluteus maximus.

Time frame: Change from Baseline TH at the 1st、24th、48th、72nd hour after surgery.

Data from ClinicalTrials.gov

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