Electrical punctual stimulation (P-STIM) with ear acupuncture following tonsillectomy, a randomised, controlled pilot study

H. Kager , R. Likar , H. Jabarzadeh , R. Sittl , C. Breschan , J. Szeles
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引用次数: 14

Abstract

Background

We examined whether P-STIM, administered pre- and postoperatively after tonsillectomies, resulted in a lower consumption of analgesics and an improvement of pain scores compared to sham acupuncture.

Methods

This study was carried out in a randomised, double-blind, controlled fashion. Thirty-three patients were randomised into 2 groups. All patients had P-STIM applied to them beginning 30 min preoperatively. The stimulation was applied over the following 96 h. The P-STIM-Verum group received sub-threshold stimulation. No stimulation was applied in the P-STIM-Placebo group.

Premedication and anaesthesia were applied in a standardised fashion. The efficacy of P-STIM application was evaluated postoperatively using numeric and visual analogue scales at rest and with exertion and by measuring postoperative analgesic consumption.

Results

At almost all the measured time points the median pain score was less in the P-STIM-Verum group than in the P-STIM-Placebo group. The VAS scores at rest and with exertion were also significantly less in the P-STIM-Verum group at certain time points. Analgesic consumption in the P-STIM-Verum group was also less than in the P-STIM-Placebo group; however the difference did not reach statistical significance.

Conclusions

We were able to demonstrate in our study, that P-STIM applied pre- and postoperatively following tonsillectomies, is a simple method that seems to be effective and has few side-effects.

扁桃体切除术后耳针电准时刺激(P-STIM),一项随机对照试验研究
背景:与假针灸相比,我们研究了扁桃体切除术前和术后给予P-STIM是否能降低镇痛药的用量和改善疼痛评分。方法本研究采用随机、双盲、对照方法。33例患者随机分为两组。所有患者术前30分钟开始应用P-STIM。刺激持续96小时。P-STIM-Verum组接受亚阈值刺激。p - stim -安慰剂组未进行任何刺激。用药前和麻醉均按标准化方式进行。术后使用数字和视觉模拟量表评估P-STIM应用的效果,并测量术后镇痛消耗。结果在几乎所有测量时间点上,P-STIM-Verum组的中位疼痛评分均低于P-STIM-Placebo组。在某些时间点,P-STIM-Verum组休息和运动时的VAS评分也明显较低。P-STIM-Verum组的镇痛药消耗也少于P-STIM-Placebo组;但差异无统计学意义。结论在我们的研究中,我们能够证明在扁桃体切除术前后应用P-STIM是一种简单有效且副作用少的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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