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针灸在急性牙痛治疗中的应用

Acupuncture in the management of acute dental pain.

作者信息

Grillo Cássia Maria, Wada Ronaldo Seichi, da Luz Rosário de Sousa Maria

机构信息

Department of Social Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.

Department of Social Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.

出版信息

J Acupunct Meridian Stud. 2014 Apr;7(2):65-70. doi: 10.1016/j.jams.2013.03.005. Epub 2013 Apr 11.

Abstract

Acute dental pain is the main reason for seeking dental services to provide urgent dental care; there is consensus about the use of alternative therapies, such as acupuncture, to control dental pain in pre-dental care. This study aimed to evaluate the use of acupuncture in reducing the intensity of acute dental pain in pre-dental care in patients waiting for emergency dental care, and was conducted at the After-Hours Emergency Dental Clinic of Piracicaba Dental School, and at the Emergency Center Dental Specialties I in Piracicaba, São Paulo, Brazil. The sample consisted of 120 patients. The Visual Analog Scale (VAS) was used to measure pain intensity. All patients underwent one session of acupuncture; the points LI4, ST44 and CV23 were selected and were used alone or in combinations. Reduction in pain was observed in 120 patients (mean initial VAS=6.558±1.886, p<0; mean final VAS=0.962±2.163, p<0.00001). The results of this study indicate that acupuncture analgesia could be a technical adjunct to pain control in patients with acute dental pain, contributing to the restoration of health with social benefit.

摘要

急性牙痛是寻求牙科服务以获得紧急牙科护理的主要原因;对于在牙科护理前使用替代疗法(如针灸)来控制牙痛,存在共识。本研究旨在评估针灸在减轻等待紧急牙科护理的患者牙科护理前急性牙痛强度方面的作用,该研究在巴西圣保罗皮拉西卡巴牙科学院的夜间急诊牙科诊所和皮拉西卡巴的急诊中心牙科专科I进行。样本包括120名患者。使用视觉模拟量表(VAS)来测量疼痛强度。所有患者均接受一次针灸治疗;选择了LI4、ST44和CV23穴位,单独或组合使用。120名患者的疼痛均有减轻(初始VAS平均值=6.558±1.886,p<0;最终VAS平均值=0.962±2.163,p<0.00001)。本研究结果表明,针灸镇痛可能是急性牙痛患者疼痛控制的一种技术辅助手段,有助于恢复健康并带来社会效益。

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