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Akupunktura zmniejsza ból u pacjentów po całkowitej alloplastyce stawu kolanowego

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65 proc. pacjentów, u których zastosowano akupunkturę w czasie alloplastyki stawu kolanowego, zgłaszało mniejszy ból i znacznie mniejsze zapotrzebowanie na stosowanie leków przeciwbólowych w 30-dniowym okresie pooperacyjnym – wynika z badań przeprowadzonych w Hospital for Special Surgery w Nowym Jorku.

Wyniki badań zostały zaprezentowane podczas konferencji ANESTHESIOLOGY 2021, która odbyła się w San Diego.

Akupunktura wpłynęła na ilość przyjmowanych opioidów i leków przeciwbólowych

W badaniu udział wzięło 41 pacjentów, którzy zostali poddani całkowitej wymianie stawu kolanowego w Hospital for Special Surgery. Wszystkim pacjentom w czasie operacji wykonano elektroakupunkturę, zmodyfikowaną formę akupunktury z zastosowaniem prądu elektrycznego wprowadzanego przez cienkie igły. Wyniki analiz porównano z istniejącymi już danymi na temat przyjmowania przez pacjentów opioidów po operacji alloplastyki stawu kolanowego.

Z przeprowadzonych w Hospital for Special Surgery badań wynika, że u większości pacjentów (65 proc.) nastąpiło znaczne zmniejszenie zapotrzebowania na stosowanie opioidów i leków przeciwbólowych w łagodzeniu dolegliwości pooperacyjnych. W 30-dniowym okresie po zabiegu, 57,5 proc. uczestników badania skorzystało ze niskodawkowego schematu przyjmowania leków przeciwbólowych i przyjęło łącznie 15 tabletek oksykodonu, natomiast 7,5 proc. pozostało całkowicie wolnych od opioidów. Wszyscy badani przerwali przyjmowanie opioidów w okresie 1 miesiąca po operacji. W porównaniu z istniejącymi danymi, jedynie 9 proc. pacjentów korzystało ze schematu niskodawkowego lub zupełnie nie przyjmowało opioidów.

– Nasze badanie pokazuje, że jeśli wyszkolony akupunkturzysta medyczny jest dostępny na sali operacyjnej, to może znacznie pomóc pacjentom w leczeniu bólu pooperacyjnego – wskazała dr Stephanie Cheng, autorka badania i anestezjolog w Hospital for Special Surgery, adiunkt anestezjologii klinicznej w Weill Cornell Medicine w Nowym Jorku oraz certyfikowana ekspertka w zakresie akupunktury medycznej.

Zmniejszanie ryzyka uzależnienia od opioidów i leków przeciwbólowych

Zdaniem ekspertów w kontekście epidemii opioidów ograniczanie dawki leków w okresie pooperacyjnym ma ogromne znaczenie. Pozwala to zmniejszać ryzyko uzależnienia się od środków przeciwbólowych i opioidów. Specjaliści zwracają uwagę, że akupunktura jest powszechnie stosowana poza szpitalem, na przykład w terapii leczenia bólu, w chorobach układu mięśniowo-szkieletowego, chorobie zwyrodnieniowej stawów, w reumatoidalnym zapaleniu stawów czy leczeniu ran tkanek miękkich, skurczy mięśni, skręceń i nadwyrężeń. Zdaniem ekspertów metoda ta jest zupełnie bezpieczna, dlatego może być z powodzeniem stosowana na sali operacyjnej. Dr Cheng zaznacza jednak, że potrzebne są dodatkowe badania, by szczegółowo zdefiniować efekty, jakie daje akupunktura.

Całkowita wymiana stawy kolanowego jest jedną z najczęstszych operacji w Stanach Zjednoczonych. Często jest bardzo bolesna, dlatego istnieje ogromna potrzeba zbadania nieopioidowych technik uśmierzania bólu w tego typu operacjach – mówi dr Cheng. – Akupunktura jest niezwykle bezpieczna i może pomóc zmniejszyć ból – dodaje ekspertka.

Źródło: medicalxpress.com

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