Gil Maria L B, Marinho Luide M R F, de Moraes Márcio, Wada Ronaldo S, Groppo Francisco C, Sato Jorge E, de Sousa Maria L R
Department of Health Sciences and Children's Dentistry, Piracicaba School of Dentistry, State University of Campinas, São Paulo, Brazil.
Department of Oral and Maxillofacial Surgery and Traumatology, Piracicaba School of Dentistry, State University of Campinas, São Paulo, Brazil.
J Acupunct Meridian Stud. 2020 Jun;13(3):104-109. doi: 10.1016/j.jams.2020.03.063. Epub 2020 Mar 20.
The objective of this crossover clinical study was to evaluate the effectiveness of Energy Regulation with Acupuncture in clinical occurrences in impacted lower third molar surgeries.
The sample consisted of 22 patients with two impacted third molars, in symmetrical position; divided into two groups: Test Group (TG) with Real Energy Regulation Group and Sham Group (SG) with Acupuncture without Energy Regulation function. The extraction was performed 30 days apart. Energy flow (Ryodoraku Method) and energy regulation performed before extraction were measured. Heart Rate (HR) and Blood Pressure (BP) were evaluated before and after energy regulation and after surgery, residual edema was measured by facial measurements (angle of the mandible to tragus (A-T); angle of the mandible to labial commissure (A-LC); angle of the mandible to the wing of the nose (A-WN); angle of the mandible to the corner of the eye (A-CE); angle of the mandible to the chin (A-C); and mouth opening by the interincisal distance, before and after seven days of surgery. To quantify intraoperative bleeding (ml), blood was aspirated along with the saline solution using a portable vacuum pump adaptor. The amount of saline solution used was subtracted from the final amount of aspirated fluid.
Mean of bleeding was lower in TG (p = 0.0392). There were significant differences between groups in facial distances: A-LC (p = 0.010), A-WN (p = 0.030) and A-C (p = 0.008).
Energy regulation with real acupuncture was effective in reducing postoperative residual edema and intraoperative bleeding.
本交叉临床研究的目的是评估针刺能量调节在阻生下颌第三磨牙手术临床情况中的有效性。
样本包括22例双侧对称位置有两颗阻生第三磨牙的患者；分为两组：真正能量调节组的试验组（TG）和无能量调节功能针刺组的假手术组（SG）。拔牙间隔30天进行。测量拔牙前的能量流动（经络测定法）和能量调节情况。在能量调节前后及手术后评估心率（HR）和血压（BP），术后7天前后通过面部测量（下颌角至耳屏（A-T）；下颌角至口角（A-LC）；下颌角至鼻翼（A-WN）；下颌角至眼角（A-CE）；下颌角至下巴（A-C））及通过切牙间距离测量开口度来测量残余水肿。为量化术中出血量（ml），使用便携式真空泵适配器将血液与生理盐水一起吸出。从吸出液体的最终量中减去所用生理盐水的量。
试验组的平均出血量较低（p = 0.0392）。两组在面部距离方面存在显著差异：A-LC（p = 0.010）、A-WN（p = 0.030）和A-C（p = 0.008）。
真正的针刺能量调节在减少术后残余水肿和术中出血方面是有效的。
