Einfluss von Akupunktur auf postoperative Schmerzen, Übelkeit und Erbrechen nach viszeralen Eingriffen

Grube, Thomas; Uhlemann, C.; Weiß, Thomas; Meißner, Winfried

doi:10.1007/s00482-009-0798-1

Cited by 15 publications

(2 citation statements)

References 18 publications

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“…In addition, the intestinal gas, bloating, and stool consistency composite score exhibited a similar pattern of improvement [ 127 ]. For postoperative pain due to visceral surgery, acupuncture can effectively reduce the pain, lower analgesic consumption, and improve other symptoms like nausea and vomiting [ 128 ]. Interestingly, a study conducted in healthy subjects showed that acupuncture transcutaneous electrical nerve stimulation, a noninvasive modality of procedure, could enhance the perception (distention, defecation, discomfort, and pain) threshold in comparison with the placebo controls.…”

Section: Management Of Pain and Visceral Pain By Acupuncturementioning

confidence: 99%

Acupuncture for Visceral Pain: Neural Substrates and Potential Mechanisms

Chen

Wang

Rong

et al. 2014

Evidence-Based Complementary and Alternative Medicine

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Visceral pain is the most common form of pain caused by varied diseases and a major reason for patients to seek medical consultation. Despite much advances, the pathophysiological mechanism is still poorly understood comparing with its somatic counterpart and, as a result, the therapeutic efficacy is usually unsatisfactory. Acupuncture has long been used for the management of numerous disorders in particular pain and visceral pain, characterized by the high therapeutic benefits and low adverse effects. Previous findings suggest that acupuncture depresses pain via activation of a number of neurotransmitters or modulators including opioid peptides, serotonin, norepinephrine, and adenosine centrally and peripherally. It endows us, by advancing the understanding of the role of ion channels and gut microbiota in pain process, with novel perspectives to probe the mechanisms underlying acupuncture analgesia. In this review, after describing the visceral innervation and the relevant afferent pathways, in particular the ion channels in visceral nociception, we propose three principal mechanisms responsible for acupuncture induced benefits on visceral pain. Finally, potential topics are highlighted regarding the future studies in this field.

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Section: Management Of Pain and Visceral Pain By Acupuncturementioning

confidence: 99%

Acupuncture for Visceral Pain: Neural Substrates and Potential Mechanisms

Chen

Wang

Rong

et al. 2014

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

show abstract

“…Multiple studies have also shown that acupuncture may be cost effective for chronic headaches (including migraines), low back pain and osteoarthritis pain [12–17]. In the inpatient setting, the use of adjunctive acupuncture has been shown to reduce pain, nausea, and vomiting and decrease the need for narcotic use [18, 19]. To date, however, no randomized controlled trials have examined acupuncture's acceptance in the inpatient hospital setting or effectiveness in reducing associated costs and length of stay.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial

Painovich

Herman

2012

Evidence-Based Complementary and Alternative Medicine

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Purpose. To evaluate the acceptance and effectiveness of acupuncture in a hospital setting. Methods. This 18-month pragmatic randomized controlled trial used a two-tiered consent process for all patients admitted to the acute care unit by study physician groups. The primary study comparison was between those randomized (using biased-coin randomization after initial consent) to be offered acupuncture or not. The primary outcome was length of stay (LOS). Other measures include costs, self-reported anxiety, depression, health status, and patient satisfaction. Results. Of the 383 patients consented to the study, 253 were randomized to be offered acupuncture, and 130 were not offered acupuncture. Of those offered acupuncture, 173 (69%) accepted and received daily acupuncture. On average, patients offered acupuncture had longer LOSs (4.9 versus 4.1 days) than those not offered acupuncture (P = .047). Adjustment for diagnosis and severity mix reduced this difference and its significance (P = .108). No other significant differences in outcomes were found. Patients who were more anxious (P = .000) or depressed (P = .017) at admission tended to more often accept acupuncture when offered. Conclusion. Acupuncture is accepted by a majority of hospitalized acute care patients. However, it did not reduce LOS in this already short-stay population.

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Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting

Lee

Chan

Fan

2015

Cochrane Database of Systematic Reviews

270

131

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Einfluss von Akupunktur auf postoperative Schmerzen, Übelkeit und Erbrechen nach viszeralen Eingriffen

Abstract: Repeated needle acupuncture may be effective in postoperative pain relief and the treatment of nausea and vomiting in the postoperative period. These effects seem not to be due solely to interaction between the acupuncturist and the patient.

Cited by 15 publications

References 18 publications

Acupuncture for Visceral Pain: Neural Substrates and Potential Mechanisms

Acupuncture for Visceral Pain: Neural Substrates and Potential Mechanisms

Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial

Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting

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