Additional use of acupuncture to NSAID effectively reduces post-tonsillectomy pain.

Details

Serval ID
serval:BIB_881D42A447AE
Type
Article: article from journal or magazin.
Collection
Publications
Title
Additional use of acupuncture to NSAID effectively reduces post-tonsillectomy pain.
Journal
European Archives of Oto-Rhino-Laryngology
Author(s)
Sertel S., Herrmann S., Greten H.J., Haxsen V., El-Bitar S., Simon C.H., Baumann I., Plinkert P.K.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
2009
Volume
266
Number
6
Pages
919-925
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Randomized Controlled TrialPublication Status: ppublish
Abstract
Post-tonsillectomy swallowing pain is a common and distressing side effect after tonsillectomy and thus of great clinical interest. Up until now, there is no randomized controlled patient- and observer-blinded study evaluating the efficacy of acupuncture against swallowing pain after tonsillectomy. We therefore compared the potency of specific verum acupuncture points related to a Chinese medical diagnosis in reducing postoperative swallowing pain with non-specific control points on the body as well as a non-acupuncture group who received standard medication only. The standardized pain therapy after tonsillectomy was orally administered nonsteroidal anti-inflammatory drugs (NSAID) (diclofenac 3 x 50 mg oral). The patients (n = 123) treated with NSAID were asked about their acute pain after taking a sip of water between the first and fifth postoperative day. Participants' pain was assessed using visual analog (VAS) [zero (0) for no pain up to ten (10) for the acute reported outset pain] before and 20 min, 1, 2 and 3 h after acupuncture treatment or standard pain medication, respectively. The functional assessment of diagnosis and treatment point-combination occurred by means of the "Heidelberg Model" of Traditional Chinese Medicine (TCM). Verum acupuncture lead to a significant additional pain relief. In comparison to the acupuncture, they also reported an average of 3 h duration of adequate pain-relief past taking the NSAID. This trial strongly supports a specific acupuncture scheme for the treatment of postoperative swallowing pain after tonsillectomy. It may particularly serve as an alternative pain treatment in case of NSAID intolerances.
Keywords
Acupuncture Therapy/methods, Adolescent, Adult, Anti-Inflammatory Agents, Non-Steroidal/therapeutic use, Humans, Middle Aged, Pain Measurement, Pain, Postoperative/prevention & control, Prospective Studies, Sample Size, Single-Blind Method, Tonsillectomy, Treatment Outcome
Pubmed
Web of science
Create date
21/01/2013 14:53
Last modification date
20/08/2019 14:47
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