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Clinical Efficacy of Transcutaneous Auricular Vagus Nerve Stimulation in Reducing Chronic Pain After Radical Mastectomy through Autonomic Nervous System Modulation: A Randomized Controlled, Double-Blind, Interventional Study

Clinical Efficacy of Transcutaneous Auricular Vagus Nerve Stimulation in Reducing Chronic Pain After Radical Mastectomy through Autonomic Nervous System Modulation: A Randomized Controlled, Double-Blind, Interventional Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500097561
Enrollment
Unknown
Registered
2025-02-20
Start date
2025-03-01
Completion date
Unknown
Last updated
2025-02-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-Mastectomy Pain Syndrome,PMPS

Interventions

Experimental group:The experimental group will receive active electrical stimulation to the left auricular concha, with a stimulation frequency of 30 Hz, pulse width of 250 µs, 30 seconds on/30 second
Control group:The control group will receive the same treatment regimen, with a sham stimulus applied to the left auricular pavilion through electrodes. The stimulus intensity will be adjusted using t

Sponsors

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Age between 18 and 65 years. 2. Female patients diagnosed with breast cancer, scheduled for elective radical mastectomy under general anesthesia. 3. Able to understand the study process and use of various assessment scales, and able to communicate effectively with the researchers. 4. American Society of Anesthesiologists (ASA) physical status classification of 1 to 3. 5. Voluntarily willing to participate in the study and sign the informed consent form.

Exclusion criteria

Exclusion criteria: 1. Patients with arrhythmias that require treatment. 2. Diagnosed liver or kidney dysfunction. 3. History of breast surgery. 4. Patients with neuromuscular diseases or left-sided auricular dermatitis. 5. History of opioid or other substance abuse. 6. Mental health disorders (such as depressive disorder, anxiety disorder, and personality disorders), long-term use of antipsychotic medications, or drug addiction. 7. Seizure or syncope recurrence in the past 5 years. 8. History of transient ischemic attacks or cerebrovascular accidents. 9. Patients who have received vagus nerve stimulation or acupuncture treatment within 1 month prior to the study. 10. Patients currently participating in other clinical trials or those who refuse to participate. 11. Vulnerable populations, including individuals with cognitive impairment, critically ill patients, minors, pregnant women, and illiterate individuals.

Design outcomes

Primary

MeasureTime frame
Incidence of chronic pain 3 months after mastectomy;

Secondary

MeasureTime frame
Incidence of chronic pain 6 months after mastectomy;Consumption of remifentanil;Time to first response to verbal command;Extubation time;Incidence of postoperative nausea and vomiting;Numerical Rating Scale (NRS) score;Pain Relief Satisfaction score;Patient Health Questionnaire-9 score;Vital signs;Surgical-related conditions;QOR-15 score;ta-VNS procedure-related complications;Baseline characteristics;

Countries

China

Contacts

Public ContactGang Chen

Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University

chengang120@zju.edu.cn+86 137 5711 8681

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026