Acupuncture analgesia and its application in cranio-maxillofacial surgical procedures.
BACKGROUND
The present study investigated the use of acupuncture analgesia in maxillofacial surgery.


METHODS
Acupuncture analgesia was applied in 120 patients. In 20 of these, surgery was carried out under general anaesthesia in combination with acupuncture analgesia. In 100 patients, acupuncture analgesia was applied in addition to traditional postoperative analgesia. In case of troublesome postoperative pain, it was necessary to carry out additional sessions (1-4) of acupuncture stimulation.


RESULTS
When acupuncture analgesia was used, the pulse rate and blood pressure during surgery generally remained stable. In the present study serum cortisol was also measured and showed only minor elevation.


CONCLUSIONS
The present study demonstrated favourable results when the first variant of the brake method of acupoint stimulation was used for 40-50 min with additional manual twirling of the needles. This involved inserting needles into the acupoints and, using slow, rolling manual movements increasing the amplitude step-by-step provoking simultaneous especially strong patient sensations.


CONCLUSIONS
Acupuncture analgesia can be a useful adjunct to conventional anaesthesia in maxillofacial surgery.
Pohodenko-Chudakova
Irina O
IO
Department of Maxillofacial and Facial Plastic Surgery, Faculty of Stomatology, Belarussian State Medical University, Minsk, Belarus. ip-c@yandex.ru
D015667:Acupuncture Analgesia / Q000379:methods; D000328:Adult; D000766:Anesthesia, Dental / Q000379:methods*; D001794:Blood Pressure; D006339:Heart Rate; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D008297:Male; D016740:Meridians; D019647:Oral Surgical Procedures; D010149:Postoperative Pain / Q000517:prevention & control; D002094:Republic of Belarus; D019291:Skull Base / Q000601:surgery
D006854:Hydrocortisone