Randomized sham-controlled trial of acupuncture for postoperative pain control after stapled haemorrhoidopexy

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
M R LangenbachS Sauerland

Abstract

Haemorrhoidectomy usually causes moderate to strong postoperative pain. Chinese studies have found that acupuncture may have an analgesic effect in posthaemorrhoidectomy patients. This is the first Western study aiming assess the efficacy of acupuncture as an adjunct analgesic therapy after stapled haemorrhoidopexy. In a randomized controlled trial, 50 patients were allocated to three groups. Conventional drug therapy (oral diclofenac and metamizol, local lidocaine) served as baseline analgesia. In the control group (n = 17) only this regimen was used. In addition to baseline analgesia, 17 patients received verum acupuncture. Sham acupuncture was performed on 16 patients. Being the primary outcome measure, pain was measured twice daily using the numerical rating scale (NRS) and compared statistically by repeated-measures analysis of variance. The study was registered (DRKS00003116). Results  After verum acupuncture, pain intensity was not significantly lower when compared with conventional analgesia (primary hypothesis, P = 0.057), but was when compared to sham acupuncture (P = 0.007). In the afternoon of postoperative day 1, for example, NRS was 2.7 (SD 1.5) in the verum group, but 4.0 (1.0) in the sham group and 4.1 (1.9) und...Continue Reading

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Citations

Sep 1, 2012·Pain Management·Scott B GroudineDuane Ellsworth
Oct 24, 2013·Current Opinion in Anaesthesiology·Ingrid Liodden, Arne Johan Norheim
Nov 17, 2015·Evidence-based Complementary and Alternative Medicine : ECAM·Xian-Liang LiuYan Shi
Aug 28, 2014·Regional Anesthesia and Pain Medicine·Chun-Chieh ChenPang-Hsin Hsieh
Oct 13, 2018·Journal of Complementary & Integrative Medicine·Ilana LevyElad Schiff
Mar 12, 2019·Chinese Medical Journal·Wei Yuan, Qiang Wang
Jun 22, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Hsing Fang KoHsien-Chang Wu

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