Clinical trial effects of acupuncture combined with different general anesthesia on postoperative nausea and vomiting and early recovery after thyroidectomy with intra-operative neuromonitoring: a randomized controlled trial.

ABSTRACT:

Background

Intraoperative neuromonitoring (IONM) is widely used to preserve recurrent laryngeal nerve (RLN) function during thyroid surgery. However, patients undergoing thyroidectomy with IONM may experience a higher incidence of postoperative nausea and vomiting (PONV) and poorer recovery quality. Both acupuncture and propofol anesthesia have been investigated as potential strategies to prevent PONV, but clinical evidence on their combined use in thyroidectomy is limited. This study aimed to evaluate the effects of propofol-based anesthesia combined with postoperative acupuncture on PONV and early recovery within 24 h after thyroidectomy with IONM.

Methods

A total of 135 adult patients were randomly assigned to one of four groups: sevoflurane with sham acupuncture (n

SUBMITTER: Zhao W 

PROVIDER: S-EPMC12571839 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature