Acupuncture Treatment for Postoperative Ache


Postoperative ache most important refers back to the acute ache that happens right away after surgical operation and is composed basically of ache from somatic and visceral trauma led to via surgical operations and ache from inflammatory inflammation round nerve endings,1 which attributes to injurious ache.2 If it remains to be poorly managed, pathological reworking of the central and peripheral worried device happens3 and the character of the ache adjustments to neuropathic ache or combined ache, then it progresses to persistent postoperative ache. Greater than 300 million sufferers go through surgical operation international each and every yr.4 Between 30% and as much as 80% of sufferers document average to critical ache within the days following surgical operation, and roughly 20% growing persistent ache.5 Continual ache now not most effective impacts the affected person’s restoration and results in longer health center remains,6 but in addition provides to the mental burden of the affected person, inflicting anxiousness and despair.7,8 For households and society, each the direct building up in hospitalization bills and intake of scientific sources, and the ensuing oblique decline of particular person hard work power or even unemployment,9 are problems that are meant to now not be underestimated.

Recently, pharmacological analgesia stays the dominant modality for the remedy of postoperative ache. Analgesics can meet the necessities of temporary and fast analgesia, then again, their negative effects such because the habit of opioids,10 the gastrointestinal hurt and conceivable cardiovascular dangers of non-steroidal anti inflammatory medicine (NSAIDs),11,12 also are obvious. Moreover, even if a large number of postoperative ache control suggestions were to be had through the years, the medication beneficial are generalized for all procedures.13 The efficacy of ache medicine would possibly range relying on the kind of surgical process,14 so it’s tough for experts to seek out an efficient answer for a selected process, and lots of sufferers document unsatisfactory effects relating to postoperative ache keep watch over.15 This all signifies to the truth that pharmacological analgesia isn’t a long-term answer. In search of inexperienced, secure, low antagonistic results and centered analgesia progressively turns into one of the vital essential issues of clinicians.

Acupuncture treatment, a chain of conventional Chinese language scientific remedy the world over accredited and implemented for its simple effectiveness of healing results within the remedy of quite a lot of pain-related stipulations and nerve problems,16,17 is without doubt one of the perfect non-pharmacological therapies to keep watch over post-operative ache. Research have discovered that acupuncture treatment can intrude in ache thru mechanisms akin to expanding endogenous opioid peptides within the mind,18,19 modulating extraordinary neurological serve as,20 and influencing intracellular signaling pathways.21 A randomized managed trial (RCT) confirmed that acupuncture used to be efficient in relieving postoperative ache in sufferers present process hemorrhoidectomy.22 Any other RCT additionally discovered that acupuncture treatment used to be secure and efficient within the control of post-cesarean ache.23

Bibliometric evaluation is a technique for comparing and quantifying literature data the usage of mathematical and statistical strategies,24 which is able to lend a hand to acknowledge the analysis advances in a selected box of science comprehensively.25 This analytical means has been implemented to many spaces with a big frame of analysis accrued, together with ache control. In this kind of research, Gao et al26 analyzed the sector of acupuncture for analgesia, and it may be observed on this learn about that acupuncture treatment for postoperative ache has additionally gained substantial consideration. Alternatively, regardless of the warmth within the medical and analysis house, no research haven’t begun explored present analysis developments within the remedy of postoperative ache with acupuncture treatment and persisted in-depth learn about of this box the usage of bibliometric evaluation is extremely warranted.

The way of bibliometric used to be implemented on this learn about to research the literatures about acupuncture treatment for postoperative ache over the past two decades, thru more than one views akin to journals, authors, establishments, nations, key phrases, and references. And the consequences had been offered within the type of clinical wisdom maps via the usage of the CiteSpace device, then the maps had been additional interpreted and analyzed, to achieve an intuitive and complete figuring out of the analysis within the box, determine analysis hotspots and supply new analysis concepts.


Knowledge Assets and Seek Technique

All information for this learn about had been received from the Internet of Science (WoS) core assortment database on 1 March 2022. The knowledge seek technique incorporated the themes “postoperative ache” and “acupuncture treatment”, with the publications duration of the literatures starting from 2001–01-01 to 2022–02-28. Best English-language papers had been incorporated, the rustic and class of the learn about weren’t limited. Duplicates and articles with out complete textual content had been excluded. Secondary seek for references and related evaluations within the literatures used to be carried out so as to steer clear of omissions. The precise seek methods and effects had been proven in Desk 1. In the end, 840 articles had been received.

Acupuncture Treatment for Postoperative Ache

Desk 1 The Subject Seek Question

Research Software

This analysis applies CiteSpace (V5.8.R3 64-bits) blended with Excel to prepare and visualize information for evaluation, together with: (1) statistical and descriptive evaluation: for parameters akin to annual newsletter quantity, authors, nations, establishments and journals; (2) collaborative community evaluation: basically for the 3 dimensions of nations (areas), establishments and authors;(3) co-occurrence evaluation: for key phrases; (4) co-citation evaluation: for authors, journals and references; (5) quotation burst evaluation: basically for key phrases and references; (6) cluster evaluation.

The precise parameters for the visualization evaluation had been set as follows. The edge of “Most sensible N% consistent with slice” used to be 50 for all calculations. The time span used to be from January 2001 to February 2022, and the time slice atmosphere for all analyses carried out with CiteSpace used to be “1 yr consistent with slice”. Clustering labels had been extracted via the usage of the LLR set of rules.

Charts Interpretation

The nodes within the maps generated via CiteSpace constitute the items being analyzed (akin to other authors, establishments, or key phrases); the scale of the diameter of the nodes displays the frequency (such because the output or quotation frequency.); other colours correspond to other years (such because the yr of newsletter); the traces between the nodes point out the collaboration or co-occurrence courting between the 2, the colour of the road signifies the time of the primary collaboration and the thickness of the road displays the power of the connection between the 2.


Annual Publications and Tendencies

The retrieval of database discovered {that a} overall of 860 articles were printed within the box of acupuncture treatment for postoperative ache previously two decades, and the quantity and pattern of annual articles are proven in Determine 1. 2001 to 2014 might be observed as one section. All the way through this era, the once a year choice of articles printed confirmed a fluctuating and sluggish enlargement pattern, with an annual moderate of about 24 articles. There have been 4 small peaks of enlargement successively, however they all had been temporarily adopted via a fall again. 2015 to the current is every other section. The choice of publications in 2015 surged to 60, and after a small rebound, 2016 to 2019 noticed a sustained and considerably speeded up building up within the choice of publications, with the warmth of consideration expanding and stabilizing at a mean of over 80 publications consistent with yr for the duration 2019 to 2021, which used to be the perfect document during the last two decades. Best two months of information are lately to be had for 2022, however in accordance with the above, it may be deduced that the choice of publications this yr can also be substantial and the analysis fever within the box of acupuncture for postoperative ache will proceed.

Determine 1 The choice of annual publications on acupuncture remedy for postoperative ache.

Word: On this determine, the choice of articles printed in 2022 is marked with an “*” and indicated via a dashed line, since most effective two months of information are to be had for this yr.

Research of Journals and Cited Journals


The entire choice of journals that printed those 860 articles on acupuncture remedy for postoperative ache used to be 344 and the highest 10 journals with the perfect cumulative choice of publications had been indexed in Desk 2. Probably the most printed journals, accounting for approximately 14% of the full choice of articles printed, had been Proof-Based totally Complementary and Selection Medication (40 articles), Acupuncture in Medication (39 articles), and Medication (38 articles). Anesthesia and Analgesia had the perfect affect issue (IF) of five.178, with 21 articles printed, score fifth.

Desk 2 The Most sensible 10 Journals with the Perfect Frequency on Acupuncture Remedy for Postoperative Ache

Cited Journals

Along with centrality, CiteSpace used to be used to generate a map of cited journals with 645 nodes and 5770 hyperlinks (Determine 2), reflecting the co-citation relationships between journals. A node represented a magazine, which gave a complete of 645 journals excited by co-citation within the box of acupuncture treatment for postoperative ache. Proven in Desk 3, the highest 5 contributing journals as cited are Ache, Anesthesia and Analgesia, Anesthesiology, British Magazine of Anaesthesia, and Acupuncture in Medication. Within the cited magazine map, the crimson ring out of doors the node mirrored the scale of the centrality of the magazine it represented. Desk 4 indexed the journals with the perfect centrality within the box of acupuncture treatment for postoperative ache, with Medical Magazine of Ache and Eu Magazine of Anaesthesiology being the highest, each at 0.07.

Desk 3 Most sensible 5 Cited Journals with the Perfect Frequency on Acupuncture Remedy for Postoperative Ache

Desk 4 Most sensible 7 Cited Journals with the Perfect Centrality on Acupuncture Remedy for Postoperative Ache

Determine 2 Co-citation map of journals on acupuncture remedy for postoperative ache.

Research of International locations

Statistically, articles on acupuncture treatment for postoperative ache basically got here from 53 nations. The 5 nations with the perfect contribution to the choice of articles and the perfect centrality had been proven in Desk 5 respectively, and a map of nation cooperation networks used to be generated accordingly (Determine 3). As observed from it, China, the highest writer, has a susceptible chain of partnerships with different nations and wish extra world cooperation to toughen the worldwide promotion of acupuncture treatment for postoperative ache. As the primary of the pivot nodes, the United States printed a considerable amount of related literature and established collaborative relationships with fairly a couple of nations. As well as, a number of nations forming a salient hexagonal circle of cooperation had been visual within the higher proper of the map. The mutual cooperation between those nations used to be evolved early and intently. In the meantime, in addition they maintained a undeniable cooperative courting with Germany, probably the most pivot nodes.

Desk 5 Most sensible 5 International locations with the Perfect Frequency and Centrality on Acupuncture Remedy for Postoperative Ache

Determine 3 Map of nations cooperation community on acupuncture remedy for postoperative ache.

Research of Establishments

The highest 5 establishments relating to quantity and centrality had been indexed in Desk 6. China Scientific Univ and Kyung Hee Univ each ranked first with 25 articles, adopted via Korea Inst Oriental Med, Chinese language Acad Sci and Shanghai Univ Tradit Chinese language Med. China Med Univ, which had the perfect choice of articles, had the the perfect centrality in the meantime, and Shanghai Univ Tradit Chinese language Med used to be additionally tied. The inter-institutional collaboration community used to be generated accordingly, as proven in Determine 4. All the way through this procedure, it used to be discovered that there have been many cases the place the names of establishments weren’t written usually, inflicting CiteSpace to spot the similar establishment as a special node. Such circumstances had been all merged manually.

Desk 6 Most sensible 5 Establishments with the Perfect Frequency and Centrality on Acupuncture Remedy for Postoperative Ache

Determine 4 Map of inter-institutional collaboration community on acupuncture remedy for postoperative ache.

Research of Authors and Cited Authors


A complete of 623 authors contributed to those 840 articles within the box of acupuncture treatment for postoperative ache and a map used to be generated the usage of CiteSpace to turn the collaborative relationships between the other authors (Determine 5). The nodes marked with names within the graph had been the authors with 3 or extra publications. And the authors with greater than 5 publications, seven in overall, had been the core authors on this box. Probably the most prolific creator used to be Inhyunk Ha, with 10 publications. With him on the middle, the graph offered a collaborative block linking up extremely productive authors akin to Byungcheul Shin (8 publications) and Meriong Kim (6 publications). Guy Zheng used to be additionally energetic, with 6 publications, and he used to be a part of the similar workforce as Zhen Zheng, who had 5 publications. Lianbo Xiao and Di Sessler additionally had 5 publications. The map additionally manifested some loosely related groups, maximum of which have been more than one authors of the similar paper. The collaborations between the other groups had been much less. Different related details about core authors had been indexed in Desk 7. The “12 months” column within the desk manifested when the creator first printed, reflecting how early the creator have been within the box. The “Nationality” column confirmed that the core authors had been basically from Korea and China. Additionally, the “Creator” and “Nation” modules had been overlaid to procure a brand new graph (Determine 6), the place the distribution of authors via nationality will also be noticed.

Desk 7 Most sensible 7 Authors with the Perfect Frequency on Acupuncture Remedy for Postoperative Ache

Determine 5 Map of authors cooperation community on acupuncture treatment for postoperative ache.

Determine 6 Authors-countries collaboration map on acupuncture treatment for postoperative ache.

Cited Authors

Together with centrality and making use of “pathfinder” and “pruning sliced networks”, CiteSpace used to be used to generate a co-citation map of authors from the sector of acupuncture treatment for postoperative ache with 745 nodes and 2824 attached traces (Determine 7). The 5 maximum incessantly co-cited authors whose articles had the perfect affect had been Han JS, Solar Y, Lee A, Lin JG and Wang SM, indexed in Desk 8. The seven authors with the perfect centrality had been demonstrated in Desk 9, with 4 of them, Han JS, Vickers AJ, Wang SM and Ernst E, having centrality more than or equivalent to 0.1.

Desk 8 Most sensible 5 Cited Authors with the Perfect Frequency on Acupuncture Remedy for Postoperative Ache

Desk 9 Most sensible 6 Cited Authors with the Perfect Centrality on Acupuncture Remedy for Postoperative Ache

Determine 7 Co-citation Map of Authors on Acupuncture Treatment for Postoperative Ache.

Key phrases Co-Incidence Research

The 840 articles of acupuncture treatment for postoperative ache introduced in combination a complete of 517 key phrases. “Pathfinder” and “pruning sliced networks” implemented, a co-occurrence map of key phrases, Determine 8, used to be generated. The ten maximum incessantly going on phrases were indexed in Desk 10, and six key phrases came about greater than 100 instances. Of hobby had been the “electroacupuncture” ranked 4th and “auricular acupuncture” ranked eighth. The frequency of those two key phrases about healing tactics used to be specifically top. In the meantime, the key phrase “auricular acupuncture” and two key phrases associated with electroacupuncture analysis, “electric stimulation” and “electric nerve stimulation”, had a top centrality (Desk 11).

Desk 10 Most sensible 10 Key phrases with the Perfect Frequency on Acupuncture Remedy for Postoperative Ache

Desk 11 Most sensible 11 Key phrases with the Perfect Centrality on Acupuncture Remedy for Postoperative Ache

Determine 8 Co-occurrence map of key phrases on acupuncture treatment for postoperative ache.

Additional clustering in accordance with the co-occurrence map ended in a complete of 12 clusters offered in Determine 9. The 5 biggest clusters had been “#0 postoperative nausea”, “#1 spinal nerve ligation”, “#2 systematic assessment”, “#3 postoperative ileus”, “#4 gi endoscopy”, “#5 present process autologous hematopoietic stem mobile transplantation”. Those had been probably the most mentioned subject on this house. Reworking the map right into a Timeline view (Determine 10) allowed to look at the evolution of scorching spots within the box of acupuncture treatment for postoperative ache analysis over the past two decades.

Determine 9 Cluster map of key phrases co-occurrence on acupuncture treatment for postoperative ache.

Determine 10 Timeline map of key phrases co-occurrence on acupuncture treatment for postoperative ache.

References Co-Quotation Research

A complete of 855 references had been extracted from the 840 articles of acupuncture treatment for postoperative ache to research cited references. The earliest cited literature used to be printed in 1996 and the newest reference used to be printed in 2020. The 5 maximum incessantly cited publications had been indexed in Desk 12. 3 of those had been systematic evaluations, one medical randomized managed trial, and one assessment. The Efficacy of Acupuncture in Publish-Operative Ache Control: A Systematic Assessment and Meta-Research via Wu MS et al,27 printed in 2016 crowned the checklist with 44 citations. Desk 13 demonstrated the highest 5 papers ranked in step with centrality. 3 of those had been medical randomized managed trials, one used to be a scientific assessment, and one used to be a assessment article. Written via Solar Y et al, Acupuncture and linked tactics for postoperative ache: a scientific assessment of randomized managed trials,28 printed in 2008 had the perfect centrality of 0.22.

Desk 12 Most sensible 5 Cited References with the Perfect Frequency on Acupuncture Remedy for Postoperative Ache

Desk 13 Most sensible 5 Cited References with the Perfect Centrality on Acupuncture Remedy for Postoperative Ache

As proven in Determine 11, there used to be a co-citation map of references generated via CiteSpace. All references marked at the graph had been the ones with greater than 8 citations, and it may be observed that a lot of extremely cited literatures had been printed within the closing 10 years. According to this, 19 legitimate clusters had been received (Determine 12). The 5 biggest clusters had been #0 acupuncture analgesia, #1 evidence-based nonpharmacologic methods, #2 postoperative complication, #3 randomized managed path, #4 ambulatory anesthesia, #5 capsicum plaster.

Determine 11 Co-citation map of references on acupuncture treatment for postoperative ache.

Determine 12 Cluster map of references co-citation on acupuncture treatment for postoperative ache.

Quotation Burst Research

Burst key phrases check with key phrases that experience observed a spike in citations over a duration and constitute the analysis hotspot for the corresponding time. The 840 incorporated articles had been measured by the use of CiteSpace and a complete of 16 burst key phrases had been extracted, as proven in Determine 13. Those key phrases first gave the impression in 2001 or prior to, however the burstness started and ended at other instances (proven because the crimson bars). Amongst them, “postoperative nausea” had the perfect worth of burst depth, with a “Power” of 8.36. Key phrases having the longest length of the burstness had been “acupuncture analgesia” and “trial”, each starting in 2008 and finishing in 2016. The 3 newest burst key phrases, “ache reduction” from 2018, “systematic assessment” from 2019 and “osteoarthritis” from 2020, were nonetheless ongoing.

Determine 13 Most sensible 16 key phrases with the most powerful quotation bursts.

A reference quotation burst is a surge within the frequency of the reference being cited over a duration, which is able to lend a hand to spot spaces at the vanguard of present analysis. A complete of 15 references of quotation burst had been extracted for this learn about and had been displayed in Determine 14. 4 references with the newest burstness had been known. An editorial via Zhang RX printed in 201429 and a piece of writing via Lee A broadcast in 201530 each started bursting in 2017, with the previous finishing bursting in 2019 and the latter in 2020. The following burst reference used to be the similar as probably the most incessantly cited article (Wu MS, 2016),27 and in the meantime it had the perfect worth of burst depth (15.32). This reference and every other one via Chou R had been each printed in 2016,31 with their quotation bursts starting in 2018 and proceeding till now.

Determine 14 Most sensible 15 references with the most powerful quotation bursts.


Normal Data on Publications

The 840 publications incorporated spanned the duration from January 2001 to February 2022. Research of the once a year quantity of literature printed published that the amount of publications within the box of acupuncture for postoperative ache had greater to various levels each and every yr. This building up used to be fairly stable within the early degree, extra distinguished after 2015, and stabilized at its perfect degree all over the newest 3 years. This means that the sector is in a duration of fast building and has nice scope for exploration and analysis worth. From the evaluation of journals, the affect elements (IF) of the highest ten journals with the perfect cumulative choice of publications are normally low. This means that the affect of acupuncture tactics for postoperative ache keep watch over in world programs remains to be fairly restricted, and the standard of related publications must be stepped forward. The extremely cited journals basically mirror the assets of journals which can be the information base of the related literatures. Maximum of them are complete scientific journals that function a bridge of information between standard and complementary selection remedies, and they’re extra influential, with having the next affect issue.

On the subject of the choice of nationwide publications, the contributions of China and USA are probably the most distinguished. The parameters of the cooperation map display that the density of nationwide collaborative networks isn’t low, because of this that to some degree a global atmosphere for collaborative analysis within the box of acupuncture for postoperative ache has been shaped, with Eu and American nations akin to the United States, UK and Germany enjoying a bigger position, whilst Asian nations, represented via China and Korea, have extra fragmented hyperlinks. Establishments in Chinese language and Korean are the principle places for analysis on this box. Scientific colleges and their affiliated scientific establishments are the principle institutional shape. Not one of the most sensible 5 establishments within the centrality score has a worth above 0.10, suggesting that even the consultant establishments are most effective taking part on a small scale.

On the subject of authors, Inhyuk Ha and his companions have printed probably the most articles, specializing in the applying of acupuncture treatment for postoperative ache within the low again, with probably the most influential article being cited 42 instances. This meta-analysis has supplied proof to fortify using acupuncture for acute ache going on inside one week of again surgical operation.32 From China, Guy Zheng is member of a analysis workforce investigating the position of acupuncture treatment in perioperative ache prevention, specifically in thoracic and belly surgical operation. A randomized managed trial carried out via the workforce demonstrated that during sufferers present process gynecological laparoscopy surgical procedures, a unmarried electroacupuncture consultation inside 24 hours prior to surgical operation used to be efficient in fighting postoperative ache.33 The creator who has the perfect frequency of being cited and centrality is Han JS, whose maximum cited paper is a assessment printed in Ache in 2011,34 which specializes in the consensus and controversy surrounding the analysis at the efficacy and mechanisms of acupuncture-related treatment, together with the collection of acupoints, stimulation strategies and depth, and neurological results, offering a reference for each medical software and trial protocols.

Analysis Hotspots and Frontiers

Key phrases and references mirror the content material of the analysis from other facets. Seen within the spatial size, the extent in their frequency, centrality and burst depth, and clustering distribution can counsel analysis hotspots. And within the temporal size, the dynamic adjustments of them can mirror analysis developments and lend a hand determine analysis frontiers.

Extremely Involved Remedy Ways and Sorts of Surgical operation

According to the frequency and centrality of the key phrases, it may be decided that electroacupuncture and auricular acupuncture are most certainly the healing tactics that experience gained probably the most consideration from researchers on this box. A multicenter randomized managed trial demonstrated that electroacupuncture blended with standard care used to be awesome to traditional care on my own for the comfort of non-acute ache following again surgical operation.35 Any other randomized managed trial additionally confirmed that auricular acupuncture may supply postoperative analgesia and cut back the applying of analgesic medicine and used to be secure to accomplish.36

Research at the keep watch over of postoperative ache with acupuncture have lined various surgical varieties, together with low again surgical operation, osteoarthritis surgical operation, lung most cancers surgical operation, cardiac surgical operation, mind surgical operation, laparoscopic surgical operation, tonsillectomy, hysterectomy, overall knee alternative, hip alternative, caesarean segment, oral surgical operation, spinal surgical operation, shoulder and neck surgical operation, gastric most cancers surgical operation, and anorectal surgical operation. The research on persistent decrease again ache because of the aftermath of low again surgical operation are probably the most, with 58 occurrences of linked key phrases.

Scorching Analysis Subjects and Instructions

The result of clustering and burstness of key phrases published a constantly top degree of outrage for postoperative nausea. The biggest cluster used to be “postoperative nausea”. Of the 16 burst key phrases, “postoperative nausea” used to be the key phrase with the earliest incidence (starting in 2002) and the best depth of burstness. Additionally, the key phrase “nausea” had a 2nd quotation burst in 2014. Each nausea and ache are the most typical headaches after surgical operation. In the meantime, there may be a point of causality between the 2. Opioid analgesics were discovered to be probably the most major reasons of postoperative nausea and vomiting.37,38 The issue of nausea will also be addressed to a really perfect extent if postoperative ache will also be relived with minimum use of such medicines. Acupuncture treatment has attracted the eye of researchers as a very good complementary and selection treatment. A scientific assessment via Pouy S et al confirmed that acupuncture treatment can save you and cut back the incidence of post-tonsillectomy ache and nausea in pediatric sufferers.39 A well-liked path of analysis derived from this analysis hotspot is PC6 acupoint stimulation. The acupoint of Neiguan (PC6), situated at the pericardium meridian, is a selected level for the remedy of nausea and vomiting.40 Research at the reduction of postoperative headaches of ache and nausea were carried out as early as 1996 via making use of drive to the Neiguan level.41 A scientific assessment and meta-analysis via Cheong KB et al demonstrated the protection and effectiveness of acupuncture stimulation of the PC6 acupoint or with the combo of alternative acupuncture issues to relieve postoperative vomiting related to anesthetic analgesia.42

As well as, transcutaneous electric nerve stimulation (TENS) is every other scorching path of analysis on this box, as mirrored within the key phrase clustering and burstness. This system may be blended with auricular acupuncture tactics.43 A equivalent methodology coming up from the disciplinary crossover is transcutaneous electric acupoint stimulation (TEAS).44–46

Analysis Tendencies and Leading edge

From an general viewpoint, key phrases whose burstness came about within the first decade basically mirrored a concentrated dialogue of postoperative ache control and acupuncture analgesic tactics, with the principle type of analysis being most commonly RCTs. Within the contemporary decade the principle focal point has been on ache symptom reduction and postoperative high quality of existence, with a gentle building up within the choice of systematic evaluations. Additionally, animal experiments, in addition to mechanism-related research, actually have a position, as evidenced via the burst key phrase “rat” and the second one biggest cluster “#1 spinal nerve ligation” (a type of rat modelling methodology). Having a look on the 3 latest burst key phrases, “ache reduction” displays the consistent consideration gained via the subject of postoperative ache control. The upward push in warmth of “systematic assessment” displays the advance of evidence-based drugs on this box. 2020 noticed the burstness of the time period “osteoarthritis”, indicating that within the closing two years acupuncture analgesic tactics have began for use in osteoarthritis surgical operation extra regularly and extensive analysis has been carried out.47,48

The quotation standing of the references additionally manifests a distinctly evidence-based scientific colour. Probably the most influential literatures on this box are of a wide range which is ruled via RCTs and systematic evaluations of medical research. In the result of clusters, each “#1 evidence-based nonpharmacologic methods” and “#3 randomized managed path” have a fairly massive dimension. Probably the most incessantly cited reference prompt that positive modes of acupuncture did have implications for relieving postoperative ache and lowering opioid use.27 That acupuncture may just keep watch over acute postoperative ache and cut back the negative effects of pharmacological analgesia used to be supported via the reference with the perfect centrality.28

In keeping with the most recent burst references, electroacupuncture may just alleviate ache via activating a spread of bioactive ingredients together with opioids, N/OFQ, 5-hydroxytryptamine, norepinephrine and others.29 Lee A et al assessment the preventive impact of a number of strategies of stimulating the PC6 acupoint on nausea and vomiting resulted from surgical analgesia and anesthesia.30 This suits in with the path of analysis embodied within the key phrases. The closing is a guiding principle on postoperative ache control printed in 2016.31 On this guiding principle, TENS is supported via average high quality proof and is beneficial as a complementary treatment. By contrast, the effectiveness of alternative acupuncture remedies stays arguable, even if there may be ok proof for his or her protection. Alternatively, maximum in their citations and proof are of effects printed prior to 2005 and their proof must be up to date. This means that the present focal point within the box of acupuncture treatment for postoperative ache remains to be on proving the effectiveness of acupuncture treatment and that there’s a lengthy solution to pass relating to undertaking top quality medical analysis.


On this learn about, the evaluation of annual quantity of publications and journals means that the sector of acupuncture treatment for postoperative ache reduction is lately in a duration of fast building. The evaluation from nation to establishment to creator displays a step by step extra microscopic viewpoint of commentary and consistency is obvious amongst them: there is also extra localized particular person collaborations, however the general collaborative community isn’t but mature. On the subject of key phrases and references, electroacupuncture and auricular acupuncture (healing tactics), low again surgical operation (kinds of surgical operation), “postoperative ache, nausea and vomiting” and their derivatives are analysis hotspots on this box. Development of postoperative existence high quality, evidence of medical efficacy and evidence-based analysis are the present analysis developments and frontiers. General, the sector of acupuncture for postoperative ache has nice doable for building, and extra world exchanges and collaborations in addition to high quality analysis effects are wanted at some point.

Power and Limitation

The power of this learn about is that literatures on acupuncture treatment for postoperative ache had been analyzed via making use of bibliometrics and visualization for the primary time, and the consequences had been interpreted from more than one views, with the ideas offered within the macroscopic viewpoint sufficiently explored, revealing the analysis hotspots and developments within the box. The limitation of this learn about is that most effective literature from the Internet of Science used to be analyzed. It’s because CiteSpace can’t mix and analyze information from more than one assets on the identical time, and different databases can’t export the corresponding quotation codecs for quotation evaluation.


NSAIDs, non-steroidal anti inflammatory medicine; RCT, randomized managed trial; WoS, Internet of Science; IF, affect issue; TENS, transcutaneous electric nerve stimulation; TEAS, transcutaneous electric acupoint stimulation.

Knowledge Sharing Observation

The uncooked information of this newsletter used to be accrued from the net database WoS, which will also be received immediately via logging in or contacting the authors.

Ethics Approval and Knowledgeable Consent

This learn about didn’t include any human or animal check topics. Thus, the requirement for ethics approval used to be waived.


The authors wish to specific their appreciation to Prof. Chaomei Chen for growing CiteSpace and opening its get entry to.

Creator Contributions

All authors made an important contribution to the paintings reported, whether or not this is within the conception, learn about design, execution, acquisition of information, evaluation and interpretation, or in some of these spaces; took phase in drafting, revising or significantly reviewing the item; gave ultimate approval of the model to be printed; have agreed at the magazine to which the item has been submitted; and comply with be in command of all facets of the paintings.


This learn about used to be supported via the Nationwide Herbal Science Basis of China (U21A20404); the Innovation Staff and Abilities Cultivation Program of Nationwide Management of Conventional Chinese language Medication (ZYYCXTD-D-202003).


The authors document no doable conflicts of hobby on this paintings.


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