Manual Acupuncture for Relieving Pain Associated with Panretinal Photocoagulation

Chiu, Hao-Che; Wu, Pei-Chang

doi:10.1089/acm.2010.0082

Cited by 9 publications

(10 citation statements)

References 36 publications

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“…The investigators concluded that Entonox can be used as a safe and effective analgesic agent during PRP treatment [3]. The feasibility of manual acupuncture for reducing pain during PRP treatment was also investigated in a prospective, comparative nonrandomized study and was found to be helpful [12]. In a recent published randomized controlled trial, single spot short duration time (20 ms) was compared with conventional laser therapy as another option for diabetic retinopathy treatment.…”

Section: Discussionmentioning

confidence: 99%

Analgesic Effect of Topical Sodium Diclofenac before Retinal Photocoagulation for Diabetic Retinopathy: A Randomized Double-masked Placebo-controlled Intraindividual Crossover Clinical Trial

Ramezani

Entezari

Shahbazi

et al. 2017

Korean J Ophthalmol

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PurposeTo evaluate the analgesic effect of topical sodium diclofenac 0.1% before retinal laser photocoagulation for diabetic retinopathy.MethodsDiabetic patients who were candidates for peripheral laser photocoagulation were included in a randomized, placebo-controlled, intraindividual, two-period, and crossover clinical trial. At the first session and based on randomization, one eye received topical sodium diclofenac 0.1% and the other eye received an artificial tear drop (as placebo) three times before laser treatment. At the second session, eyes were given the alternate drug. Patients scored their pain using visual analogue scale (max, 10 cm) at both sessions. Patients and the surgeon were blinded to the drops given. Difference of pain level was the main outcome measure.ResultsA total of 200 eyes of 100 patients were enrolled. Both treatments were matched regarding the applied laser. Pain sensation based on visual analogue scale was 5.6 ± 3.0 in the treated group and 5.5 ± 3.0 in the control group. The calculated treatment effect was 0.15 (95% confidence interval, −0.27 to 0.58; p = 0.486). The estimated period effect was 0.24 (p = 0.530) and the carryover effect was not significant (p = 0.283).ConclusionsPretreatment with topical sodium diclofenac 0.1% does not have any analgesic effect during peripheral retinal laser photocoagulation in diabetic patients.

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Section: Discussionmentioning

confidence: 99%

Analgesic Effect of Topical Sodium Diclofenac before Retinal Photocoagulation for Diabetic Retinopathy: A Randomized Double-masked Placebo-controlled Intraindividual Crossover Clinical Trial

Ramezani

Entezari

Shahbazi

et al. 2017

Korean J Ophthalmol

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“…Only one article (Chiu & Wu, 2011) was returned; this article described a prospective, comparative, nonrandomized study conducted in a Taiwanese hospital. The sample consisted of 34 patients diagnosed with proliferative DR, including 18 patients allocated to the experimental group (EG) and 16 patients allocated to the control group (CG).…”

Section: Is There Evidence Of Efficacy Of Nonpharmacological Intervenmentioning

confidence: 99%

Is there evidence of efficacy of nonpharmacological interventions in the acute pain management during the laser retinal photocoagulation of patients with diabetic retinopathy?

Ribeiro

Pinto

et al. 2019

European Journal of Pain

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“…For example, a systematic review suggested that acupuncture can relieve acute postoperative pain after back surgery [6]. Another study suggested that acupuncture may help reduce pain during panretinal photocoagulation treatment [7]. Several clinical studies have shown that acupuncture may be effective in improving postoperative analgesia, reducing intraoperative anesthetic requirements and immunosuppression, and reducing the incidence of anesthesia-related side effects [8,9].…”

Section: Introductionmentioning

confidence: 99%

Acupuncture at the P6 Acupoint to Prevent Postoperative Pain after Craniotomy: A Randomized, Placebo-Controlled Study

Zhou

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. Acute pain management after craniotomy can be challenging. Previous studies have shown inadequate pain control following the procedure. Oral medication can sometimes be delayed by postoperative nausea, and use of anesthetics may impair the assessment of brain function. We conducted this prospective study to evaluate the effect of acupuncture at the P6 acupoint on postoperative pain, nausea, and vomiting in patients undergoing craniotomy. Methods. The authors conducted a randomized, placebo-controlled trial among 120 patients scheduled for craniotomy under general anesthesia. 120 patients were randomly assigned into an acupuncture group or a sham acupuncture group. All patients received standardized anesthesia and analgesia treatment. Acupuncture was executed in the recovery room after surgery. For the acupuncture group, the P6 points on each wrist were punctured perpendicularly to a depth of 20 mm. Needles were retained for 30 min and stimulated every 10 min to maintain the De-Qi sensation. For the sham acupuncture group, sham points on each wrist were punctured perpendicularly to a depth of 5 mm. Needles were retained for 30 min with no stimulation during the duration. The postoperative pain scores, PONV, and dose of tramadol were assessed 24 h, 48 h, and 72 h after surgery. Results. A total of 117 patients completed the study. There was no statistically significant difference in baseline data between the two groups ( P > 0.05 ). The VAS pain score of the acupuncture group was lower than that of the sham acupuncture group, and this difference was statistically significant ( P = 0.002 ). There was no difference in pain scores between the two groups during 0–24 h and 48–72 h ( P > 0.05 ). The incidence of vomiting in the acupuncture group was lower than that in the sham acupuncture group during the 0–24 h period (13.8% vs. 28.8%, P = 0.048 ). There was no difference in vomiting, however, during the 24–72 h period ( P > 0.05 ). No significant differences were found in the degree of nausea and the dose of tramadol between the two groups at either time point in the acupuncture group and sham acupuncture group. Conclusion. The use of acupuncture at the P6 acupoint in neurosurgery patients did result in significantly lower pain scores and reduction in the incidence of vomiting after craniotomy. There were no significant side effects. Acupuncture at the P6 acupoint was well tolerated and safe in this patient population.

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Manual Acupuncture for Relieving Pain Associated with Panretinal Photocoagulation

Abstract: Acupuncture might help reduce pain during PRP treatment. However, further randomized studies are necessary to verify these preliminary results.

Cited by 9 publications

References 36 publications

Analgesic Effect of Topical Sodium Diclofenac before Retinal Photocoagulation for Diabetic Retinopathy: A Randomized Double-masked Placebo-controlled Intraindividual Crossover Clinical Trial

Analgesic Effect of Topical Sodium Diclofenac before Retinal Photocoagulation for Diabetic Retinopathy: A Randomized Double-masked Placebo-controlled Intraindividual Crossover Clinical Trial

Is there evidence of efficacy of nonpharmacological interventions in the acute pain management during the laser retinal photocoagulation of patients with diabetic retinopathy?

Acupuncture at the P6 Acupoint to Prevent Postoperative Pain after Craniotomy: A Randomized, Placebo-Controlled Study

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