de Almeida Talita B, Zotelli Vera L R, Wada Ronaldo S, Sousa Maria L R
Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil.
Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil.
J Acupunct Meridian Stud. 2019 Dec;12(6):182-191. doi: 10.1016/j.jams.2019.07.005. Epub 2019 Aug 9.
The aim of this study was to assess whether the effectiveness of acupuncture is similar to the use of analgesics in the management of toothache. The research included 56 volunteers who were divided into 4 groups: Real Acupuncture group, Placebo Acupuncture group, Real Dipyrone group, and Placebo Dipyrone group. The interventions of the study were performed before the dental care. Inclusion criteria were toothache of pulpal origin with pain scale (Visual Analogue Scale) above 4, absence of medication for the pain, and aged over 18 years. The Real Acupuncture volunteers received a session of acupuncture using piercing needles, while volunteers from the Placebo Acupuncture group received an acupuncture session using non-piercing sham needles. Volunteers from the Real Dipyrone group received a dipyrone tablet and the Placebo Acupuncture group received a tablet with no active ingredient. Before any therapeutic intervention, we collected samples from the volunteers' saliva to analyze the salivary cortisol, the volunteers rated the intensity of their pain using VAS, and we measured their energy level by the Ryodoraku method. After 20 minutes of treatment, all the volunteers' analysis parameters were collected again. The Real Acupuncture group presented a greater reduction of VAS than the reduction obtained by the Real Dipyrone group (p<0.05). There was no statistically significant difference between the groups for the salivary cortisol and energy level variables. It can be concluded that acupuncture was more effective in reducing odontalgia than the dipyrone and that it can be an alternative for odontalgia management.
本研究的目的是评估针刺疗法在治疗牙痛方面的效果是否与使用镇痛药相似。该研究纳入了56名志愿者,他们被分为4组:真针刺组、假针刺组、真安乃近组和假安乃近组。研究干预在牙科治疗前进行。纳入标准为牙髓源性牙痛,疼痛量表(视觉模拟量表)评分高于4,未服用止痛药物,年龄超过18岁。真针刺组的志愿者接受了一次使用穿刺针的针刺治疗,而假针刺组的志愿者接受了一次使用非穿刺假针的针刺治疗。真安乃近组的志愿者服用了一片安乃近,假安乃近组的志愿者服用了一片无活性成分的药片。在任何治疗干预之前,我们收集了志愿者的唾液样本以分析唾液皮质醇,志愿者使用视觉模拟量表对疼痛强度进行评分,并用经络测定法测量他们的能量水平。治疗20分钟后,再次收集所有志愿者的分析参数。真针刺组的视觉模拟量表评分下降幅度大于真安乃近组(p<0.05)。唾液皮质醇和能量水平变量在各组之间没有统计学上的显著差异。可以得出结论,针刺疗法在减轻牙痛方面比安乃近更有效,并且它可以作为牙痛治疗的一种替代方法。