Titre
Additional use of acupuncture to NSAID effectively reduces post-tonsillectomy pain.
Type
article
Institution
Externe
Périodique
Auteur(s)
Sertel, S.
Auteure/Auteur
Herrmann, S.
Auteure/Auteur
Greten, H.J.
Auteure/Auteur
Haxsen, V.
Auteure/Auteur
El-Bitar, S.
Auteure/Auteur
Simon, C.H.
Auteure/Auteur
Baumann, I.
Auteure/Auteur
Plinkert, P.K.
Auteure/Auteur
Liens vers les personnes
ISSN
1434-4726
Statut éditorial
Publié
Date de publication
2009
Volume
266
Numéro
6
Première page
919
Dernière page/numéro d’article
925
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study ; Randomized Controlled TrialPublication Status: ppublish
Résumé
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.
PID Serval
serval:BIB_881D42A447AE
PMID
Date de création
2013-01-21T13:53:08.524Z
Date de création dans IRIS
2025-05-21T02:37:11Z