Akupunktur bei neonatalem Abstinenzsyndrom bei Neugeborenen
Abstract
Background
Neonatal abstinence syndrome (NAS) is a drug‐withdrawal syndrome, mostly occurring after antenatal exposure to opioids. A neonate may be born physically dependent on opioid medications, which causes withdrawal symptoms (such as high‐pitched crying, disruptions in the sleep‐wake cycle and tremors) after birth. This is diagnosed with a standardised withdrawal assessment, such as the Finnegan score. Newborns developing NAS require medical treatment and longer hospital stays after birth than neonates without this condition. Treatments for NAS include multiple multimodal treatments to ease symptoms of withdrawal, such as swaddling, ‚rooming in‘ and breastfeeding. If the standardised assessment exceeds a certain threshold, newborns are treated pharmacologically with an orally administered opioid. However, optimal NAS management continues to be debated. Acupuncture has been proposed as a potential intervention. Acupuncture involves stimulation of specific points on the body, either through the insertion of thin metal needles or with techniques that do not penetrate the skin, such as acupressure and laser.
Objectives
To assess if acupuncture (acupressure, needle, laser) reduces the treatment duration of neonatal abstinence syndrome (NAS) in newborn infants, reduces adverse events and reduces length of hospital stay.
Autoren
Berndt Urlesberger, Rita Cabano, Greg Soll, Adrienne Pahl, Ju Lee Oei, Georg M. Schmölzer, Wolfgang Raith, Matteo Bruschettini
Journal
Cochrane Library
Link: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014160.pub2/abstract
DOI: https://doi.org/10.1002/14651858.CD014160.pub2
Verwendete Punkte:
Ohrakupunkturpunkte:
- Sympathikuspunkt (Punkt 51)
- Shen Men (Punkt 55)
- Nierenpunkt (Punkt 95)
- Leberpunkt (Punkt 97)
- Lungenpunkt (Punkt 101)
Körperakupunkturpunkte:
- Leber 3
- Dickdarm 4
- Niere 3
- Herz 7