Offene randomisierte klinische Studie zur Bewertung der Auswirkungen von präoperativer Akupunktur bei Patienten mit starken Angstzuständen vor einer Knie- oder Hüftendoprothetik
Abstract
Background
Preoperative state anxiety is a known predisposing factor for enhanced postoperative pain and hindered recovery following total knee or hip replacement. Acupuncture administered preoperatively has been associated with reduced anxiety in surgical studies, yet evidence of its efficacy in the orthopedic surgical setting is limited.
Objective
This study investigated the effects of preoperative acupuncture on preoperative anxiety and pain and compared acute postoperative pain between acupuncture and control patient groups.
Design
Parallel-arm, open-label, randomized controlled trial.
Setting
Bone and Joint Institute, Hartford Hospital, Hartford, CT.
Participants
Sixty middle-aged and elderly men and women with clinically validated preoperative anxiety undergoing elective total hip or knee replacement.
Intervention
One-to-one randomization to preoperative acupuncture (n = 30) or no acupuncture treatment (n = 30) on the day of surgery.
Coprimary outcomes
Anxiety before and after preoperative acupuncture using the visual analog scale and postsurgical pain using the numeric pain scale.
Secondary outcomes
Incidence of acupuncture-related complications, pain before and after acupuncture, nausea and vomiting incidence, opioid consumption, anxiolytics and antiemetics use, and patient satisfaction.
Results
Patients reported lower anxiety and pain preoperatively following acupuncture compared with before treatment (both p < 0.001). Postoperatively, the acupuncture group reported lower pain in the first 3 h than the control group, although this difference was not statistically significant. No significant differences in postoperative complications or patient satisfaction were observed between the study groups. Most patients were satisfied with the acupuncture treatment and reported a likelihood of considering preoperative acupuncture for future surgeries.
Conclusions
These preliminary findings support that preoperative acupuncture is a safe and effective means to reduce perioperative anxiety and pain in patients undergoing total hip or knee replacement surgery. Additional studies should be conducted to best determine the value of preoperative acupuncture in total hip or knee patients presenting with surgically related anxiety.
Autoren
Kainkaryam, P., Vincze, S., Takata, E., Secor, E., Panza, G., Walker, A., Gallagher, G., Bergner, A., Finkel, J., Kumar, M., Witmer, D., Shekhman, M., & Nagarkatti, D.
Journal
Journal of Integrative and Complementary Medicine
Kommentar
Verwendete Punkte: Pericardium 6 (PC6), Shenmen, Nullpunkt, Valiumpunkt, Omega-Hauptpunkt
