Description LI 4 (Hand), LI 11 (Elbow), and St 44 (Foot)
Experimental Description
Sixty children were recruited and randomly divided into a study group and a control group. This pilot study was limited by budget, but to ensure correct use of parametric statistical tests, both the acupuncture treatment group and the control group included 30 participants.
Sample Count
60
Age
3月12日
Control
Std
control group(n=30)
Experiment
study group(n=30)
Indicator
Visual analog scale(VAS)Side effects
Auxiliary Medication
All patients received general anesthesia using standard and uniform anesthetic technique including routine perioperative administration of dexamethasone in accordance with the 2011 American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) practice guidelines. Intra-operative analgesia included i.v. fentanyl 2 lg kg -1 and i.v. paracetamol 15 mg kg -1. Initial post-operative pain control included i.v. pethidine 0.1 mg kg 1 in postanesthetic recovery unit. According to standard operating procedure in the pediatric depart- ment, every child was treated with oral paracetamol using a standard dosage regime of 10 mg kg -1 per dose by request every 4-6 h and not more than five doses in 24 h, and not continuously for more than 3 days postoperatively. Oral analgesia by request and not at regular intervals is the accepted postoperative analgesic treatment protocol in our institute. In addition, oral ibuprofen 10 mg kg -1 per dose was given on request only, no more than three doses in 24 h, in cases in which oral paracetamol was not sufficient for pain control.
Stimulation Method
MS
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
-
-
-
-
-
no more than 5 min.
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
0.2×15 mm
Dong Bang Acupuncture Inc., Chungnam, Korea
5-10 mm
Description Sterile, disposable, FDA-approved acupuncture needles (0.20 * 15 mm; Dong Bang Acupuncture Inc., Chungnam, Korea) were used. Acupuncture was performed bilaterally on each patient. Altogether six needles were used. The needles penetrated the skin to a depth of 5– 10 mm and were kept in place for no more than 5 min. Treatment was repeated three times during the hospital stay. The first treatment was given approximately 2 h after discharge from the postoperative unit. The second treatment was given on the same evening, approximately 4–8 h after the first treatment, and the third treatment was given the following morning, approximately 12–18 h after the second treatment.
Anesthesia Method
GA
Clinical Trial Type
a randomized, controlled, single-blinded study
Adverse Effects
No adverse effects as a result of the acupuncture treatments were recorded.
Contraindications
Skin lesions near acupuncture sites
Effector
The results indicate that in the study group, there was less pain, less analgesic drug consumption, and higher patient/parent sat- isfaction with analgesic treatment scores. No adverse effects were recorded. Acupuncture, in addition to conventional analgesic treatment, is an effective treatment for posttonsillectomy pain. Acupuncture is safe and well received by children and their parents.
"Acupuncture for posttonsillectomy pain in children: a randomized, controlled study."
Abstract
BACKGROUND: Surgeons have searched for the technique or medication that will produce a 'painless tonsillectomy'; however, this seems to be an impossible goal. Previous studies have shown that perioperative acupuncture may be a useful adjunct for acute postoperative pain and that acupuncture, in addition to nonsteroidal anti-inflammatory drugs, is effective in adults for the treatment of postoperative swallowing pain after tonsillectomy. Acupuncture has been shown to be safe in children. A retrospective review of acupuncture for posttonsillectomy pain in juvenile patients showed a significantly reduced pain score immediately after treatment. AIM: To examine whether acupuncture, in addition to conventional analgesic treatment, will be effective in the treatment of posttonsillectomy pain in children. METHODS: We conducted a randomized, controlled, single-blinded study comparing conventional postoperative analgesic treatment with the same regime plus acupuncture to assess whether postoperative treatment of children aged 3-12 years undergoing tonsillectomy with acupuncture will reduce pain and to examine possible unwanted effects of this treatment. RESULTS: Sixty children were recruited and randomly divided into a study group and a control group. The results indicate that in the study group, there was less pain, less analgesic drug consumption, and higher patient/parent satisfaction with analgesic treatment scores. No adverse effects were recorded. CONCLUSIONS: Acupuncture, in addition to conventional analgesic treatment, is an effective treatment for posttonsillectomy pain. Acupuncture is safe and well received by children and their parents."
Souce
Paediatr Anaesth. 2015 Jun;25(6):603-9. doi: 10.1111/pan.12621. Epub 2015 Feb 7.
