Gioia Luigi, Cabrini Luca, Gemma Marco, Fiori Rossana, Fasce Francesco, Bolognesi Gianluigi, Spinelli Alessandra, Beretta Luigi
Departments of Anesthesiology, Vita-Salute University of Milan, and H. San Raffaele, Milan, Italy.
J Cataract Refract Surg. 2006 Nov;32(11):1951-4. doi: 10.1016/j.jcrs.2006.06.027.
To assess the effectiveness of acupuncture in reducing anxiety in patients having cataract surgery under topical anesthesia.
Vita-Salute University of Milan and IRCCS H. San Raffaele, Milan, Italy.
In a prospective randomized double-blind controlled trial, anxiety levels before and after cataract surgery in 3 groups (A = no acupuncture, B = true acupuncture starting 20 minutes before surgery, C = sham acupuncture starting 20 minutes before surgery) were compared using the Visual Analog Scale (VAS). Twenty-five patients scheduled for inpatient phacoemulsification were enrolled in each group. All surgeries were performed using topical anesthesia. Exclusion criteria were refusal to provide informed consent, use of drugs with sedative properties, psychiatric disease, pregnancy, knowledge of the principles of acupuncture, anatomic alterations, or cutaneous infections precluding acupuncture at the selected acupoints.
Preoperative anxiety levels were significantly lower only in Group B (P = .001). Anxiety in Group B was significantly lower than in Group A (P = .001) and Group C (P = .037). Regarding postoperative anxiety, the mean VAS score was 39 +/- 5 in Group A, 19 +/- 3 in Group B, and 31 +/- 4 in Group C. The difference was significant only between Group A and Group B (P = .003).
Acupuncture was effective in reducing anxiety related to cataract surgery under topical anesthesia.
评估针刺对局部麻醉下白内障手术患者焦虑情绪的缓解效果。
意大利米兰的维塔 - 萨尔ute大学和米兰IRCCS H. 圣拉斐尔医院。
在一项前瞻性随机双盲对照试验中，使用视觉模拟量表（VAS）比较了3组患者（A组 = 不针刺，B组 = 手术前20分钟开始进行真针刺，C组 = 手术前20分钟开始进行假针刺）白内障手术前后的焦虑水平。每组纳入25例计划接受住院超声乳化手术的患者。所有手术均采用局部麻醉。排除标准包括拒绝提供知情同意书、使用具有镇静作用的药物、精神疾病、妊娠、了解针刺原理、解剖结构改变或皮肤感染导致所选穴位无法进行针刺。
仅B组术前焦虑水平显著较低（P = 0.001）。B组的焦虑水平显著低于A组（P = 0.001）和C组（P = 0.037）。关于术后焦虑，A组的平均VAS评分为39±5，B组为19±3，C组为31±4。仅A组和B组之间差异有统计学意义（P = 0.003）。
针刺对缓解局部麻醉下白内障手术相关的焦虑有效。
