Objective To evaluate the effect of buccal acupuncture on analgesia after tonsilloade-noidectomy in pediatric patients.Methods This was a randomized controlled study.One hundred and twenty-six American Society of Anesthesiologists Physical Status classification Ⅰ or Ⅱ pediatric patients,aged 3-12 yr,weighing 12-34 kg,with body mass index＜30 kg/m2,undergoing elective tonsilloadenoidectomy with general anesthesia,were divided into 2 groups(n=63 each)by the random number table method:buccal acupuncture group(group B)and control group(group C).All pediatric patients received the same anesthesia induction and intraoperative anesthesia maintenance.The concentration of sevoflurane was adjusted to keep the fluctua-tion amplitude of vital sign parameters within 20％ of the baseline value.After surgery,the drug was imme-diately stopped and the children were transferred to the postanesthesia care unit for resuscitation under gen-eral anesthesia.In group B,the bilateral neck points,upper neck points,hologram points on the head and Zhongjiao points were selected before removal of the tracheal catheter,and disposable acupuncture needles were inserted directly into the acupoints and remained for 20-30 min.Group C received no buccal acupunc-ture.The pain Assessment Scale(FLACC)was used to assess the severity of postoperative pain.The postop-erative agitation score was evaluated by Aono four-point rating method to evaluate the occurrence of agitation.The effective pressing times of patient-controlled analgesia,rescue analgesia and occurrence of nausea and vomiting within 48 h after operation were recorded.The occurrence of bleeding,infection and broken needle at acupuncture sites was recorded.Results Compared with group C,the effective pressing times of patient-controlled analgesia and incidence of nausea and vomiting were significantly decreased in group B(P＜0.05).There was no significant difference in the rate of rescue analgesia and incidence of postoperative agi-tation between the two groups(P＞0.05).No infection or broken needle was found at acupuncture sites after buccal acupuncture,only 2 cases had slight bleeding at the puncture site,and there was no abnormality af-ter pressing in group B.Conclusions Buccal acupuncture can enhance the analgesic effect after tonsilload-enoidectomy in pediatric patients.
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