Investigation of the Effects of Acupuncture on Post-Operative Chest Pain after Open Heart Surgery.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Acupuncture and Meridian Studies Pub Date : 2023-08-31 DOI:10.51507/j.jams.2023.16.4.133
Sharareh Roshanzamir, Yas Haririan, Rezvan Ghaderpanah, Leila Sadat Mohamadi Jahromi, Alireza Dabbaghmanesh
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Abstract

Background: Coronary artery bypass grafting (CABG) accounts for more than half of all adult cardiac surgeries worldwide. Post-operative chest pain is a common CABG complication and can cause significant discomfort.

Objectives: Because taking large amounts of analgesics can have many side effects, we evaluated whether acupuncture effectively reduces pain and the use of analgesics by CABG patients.

Methods: In this clinical trial, 30 patients who had recently undergone CABG were randomly allocated to two groups. For both groups, exercise therapy and routine analgesics were recommended. The intervention group underwent bilateral acupuncture in distinct acupoints, including the HT3, HT4, HT5, HT6, HT7, PC3, PC5, PC6, and PC7 for 10 daily sessions constantly. Visual analog scale (VAS) and analgesic use were evaluated in both groups at baseline and after completing the 10-day treatment.

Results: Our analysis revealed significant decreases in the mean VAS scores in both the intervention and the control group, and that the reduction was more significant in the acupuncture group (p < 0.001). Moreover, analgesic use was significantly lower in the acupuncture group when compared with the control group (p < 0.001).

Conclusion: Our findings highlight acupuncture as an alternative method of controlling CABG-associated post-operative chest pain and reducing the use of analgesics, which might have many side effects.

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针刺治疗心脏直视手术后胸痛的疗效观察。
背景:冠状动脉旁路移植术(CABG)占全球所有成人心脏手术的一半以上。术后胸痛是冠状动脉搭桥术常见的并发症,可引起明显的不适。目的:由于服用大量镇痛药可能有许多副作用,我们评估针灸是否能有效减轻CABG患者的疼痛和镇痛药的使用。方法:将30例近期行冠脉搭桥的患者随机分为两组。两组均推荐运动治疗和常规镇痛。干预组分别在HT3、HT4、HT5、HT6、HT7、PC3、PC5、PC6、PC7等不同穴位进行双侧针刺,每日10次。观察两组患者的视觉模拟评分(VAS)和镇痛药使用情况。结果:我们的分析显示,干预组和对照组的VAS平均评分均有显著下降,且针灸组的下降更为显著(p < 0.001)。此外,与对照组相比,针刺组镇痛药的使用明显减少(p < 0.001)。结论:我们的研究结果强调针灸是控制冠脉搭桥术后胸痛的一种替代方法,可以减少止痛药的使用,这可能有许多副作用。
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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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