Armond A C V, Glória J C R, Dos Santos C R R, Galo R, Falci S G M
Department of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Department of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil.
Int J Oral Maxillofac Surg. 2019 Feb;48(2):274-281. doi: 10.1016/j.ijom.2018.07.016. Epub 2018 Aug 20.
The aim of this study was to compare the effects of acupuncture and placebo acupuncture on the control of pain, oedema, and trismus following the extraction of third molars and on the control of preoperative anxiety. Sixteen patients (mean age 22.5±3.45years) each underwent four acupuncture sessions, one prior to each surgery and the others at 24, 48, and 72hours after each surgery (left and right tooth). Oedema was determined using measurements of the face and trismus was determined by maximum mouth opening at baseline and at 24, 48, 72hours and 7days following surgery. Postoperative pain was evaluated by the patients using a visual analogue scale (VAS) at 24, 48, and 72hours following surgery. Anxiety was evaluated using the State-Trait Anxiety Inventory and a VAS at baseline and before and after acupuncture prior to surgery. The statistical analysis was performed using the paired t-test and Wilcoxon test. Acupuncture showed a better performance in the control of oedema at 48hours (P=0.026), 72hours (P=0.046), and 7days (P=0.040) when compared to placebo. There was no statistically significant difference between the acupuncture and placebo groups in the control of pain, trismus, or anxiety.
本研究的目的是比较针刺与假针刺对拔除第三磨牙后疼痛、水肿和牙关紧闭的控制效果以及对术前焦虑的控制效果。16名患者（平均年龄22.5±3.45岁）每人接受4次针刺治疗，每次手术前1次，其他在每次手术后24、48和72小时（左右两侧牙齿）进行。通过测量面部来确定水肿情况，通过在基线以及手术后24、48、72小时和7天的最大张口度来确定牙关紧闭情况。术后疼痛由患者在手术后24、48和72小时使用视觉模拟量表（VAS）进行评估。焦虑在基线以及手术前针刺前后使用状态-特质焦虑量表和VAS进行评估。采用配对t检验和Wilcoxon检验进行统计分析。与假针刺相比，针刺在48小时（P=0.026）、72小时（P=0.046）和7天（P=0.040）时对水肿的控制表现更好。在疼痛、牙关紧闭或焦虑的控制方面，针刺组与假针刺组之间没有统计学上的显著差异。
