Yıl: 2020 Cilt: 17 Sayı: 4 Sayfa Aralığı: 29 - 34 Metin Dili: İngilizce DOI: 10.4274/tjod.galenos.2020.66592 İndeks Tarihi: 20-01-2022

A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety

Öz:
Objective: To investigate the effect of acupuncture on reducing pain and anxiety related to hysterosalpingography (HSG). Materials and Methods: A total of 107 patients planned to undergo HSG were randomly separated into 3 groups; the acupuncture group (n=36), intramuscular diclofenac sodium group (n=35), and control group (n=37). In the acupuncture group, electro-acupuncture was applied to specified points for 20 mins before the procedure. In the intramuscular diclofenac sodium group, an intramuscular injection of 75 mg diclofenac sodium was applied 30 mins before the procedure. No analgesics were administered to the patients in the control group before intervention. Pain was evaluated with a Visual Analog scale (VAS) and anxiety with the State-trait Anxiety inventory -state (STAI-S), preoperatively and at specified times postoperatively. Results: The VAS scores at 1 and 5 minutes after HSG were similar in acupuncture group and intramuscular diclofenac sodium group, and significantly lower than in the control group. At 30 mins postoperatively, there was no significant difference between the 3 groups in respect of the VAS scores. The STAI-S scores at 1 hour preoperatively were similar in all the groups (p=0.563). In the comparisons of the STAI-S values at preoperative 5 mins, following acupuncture in acupuncture group and the diclofenac injection in intramuscular diclofenac sodium group, and at postoperative 30 mins, the acupuncture group values were determined to be statistically significantly lower than those of the other groups (p<0.001, p<0.001). Conclusion: Acupuncture has similar effects on the reduction of pain as other analgesics and reduces anxiety. It can therefore be used in HSG in suitable clinics.
Anahtar Kelime:

Histerosalpingografi ilişkili ağrı ve anksiyetede elektroakupunktur tedavisi: Randomize pilot çalışma

Öz:
Amaç: Akupunkturun histerosalpingografiye (HSG) bağlı ağrı ve anksiyeteyi azaltıcı etkisini araştırmak. Gereç ve Yöntemler: HSG çekimi planlanan 107 hasta randomize olarak üç gruba ayrıldı. Akupunktur grubu (n=36), İntramüsküler diklofenac sodyum grubu (n=35), kontrol grubu (n=37). Akupunktur grubuna işlem öncesi, belirlenen noktalara 20 dakika elektroakupunktur uygulandı. İntramüsküler diklofenac sodyum grubunda hastalara işlemden 30 dakika önce 75 mg diklofenac sodyum intramüsküler uygulandı. İşlem öncesi ve sonrası belirlenen zamanlarda Görsel Anolog ölçeği (VAS) ağrı ve State-trait Anxiety inventory-state (STAI-S) ile anksiyete ölçümleri yapıldı. Bulgular: HSG’den sonra 1. ve 5. dakika VAS skorları akupunktur ve intramüsküler diklofenac sodyum gruplarında birbirlerine benzer ve kontrol grubuna göre anlamlı düzeyde düşük bulunurken 30. dakikadaki VAS skorları arasında üç grup içerisinde anlamlı bir fark yoktu. STAI-S skorları işlemden 1 saat önce tüm gruplarda benzer iken (p=0,563). İşlem öncesi 5. dakikada yani akupunktur grubunda akupunktur sonrası, intramüsküler diklofenac sodyum grubunda ise diclofenac enjeksiyonu sonrası ve işlem sonrası 30. dakikada saptanan STAI-S değerleri karşılaştırıldığında akupunktur grubunda diğerlerine göre daha düşük seviyelerde izlenmiştir (p<0,001 ve p<0,001). Sonuç: Akupunkturun ağrıyı azaltıcı etkisi diğer analjeziklerle benzer olması ve ilave olarak anksiyete azaltıcı etkinliği nedeniyle uygun kliniklerde HSG çekimlerinde kullanılabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Bakacak Z, DEMİREL A, Bakacak M, URFALIOGLU A, YAYLALI A, BORAN Ö, Kaplanoğlu M, Kıran H, Gizir M (2020). A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. , 29 - 34. 10.4274/tjod.galenos.2020.66592
Chicago Bakacak Zeyneb,DEMİREL ADNAN,Bakacak Murat,URFALIOGLU AYKUT,YAYLALI ASLI,BORAN ÖMER FARUK,Kaplanoğlu Mustafa,Kıran Hakan,Gizir Mehtap A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. (2020): 29 - 34. 10.4274/tjod.galenos.2020.66592
MLA Bakacak Zeyneb,DEMİREL ADNAN,Bakacak Murat,URFALIOGLU AYKUT,YAYLALI ASLI,BORAN ÖMER FARUK,Kaplanoğlu Mustafa,Kıran Hakan,Gizir Mehtap A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. , 2020, ss.29 - 34. 10.4274/tjod.galenos.2020.66592
AMA Bakacak Z,DEMİREL A,Bakacak M,URFALIOGLU A,YAYLALI A,BORAN Ö,Kaplanoğlu M,Kıran H,Gizir M A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. . 2020; 29 - 34. 10.4274/tjod.galenos.2020.66592
Vancouver Bakacak Z,DEMİREL A,Bakacak M,URFALIOGLU A,YAYLALI A,BORAN Ö,Kaplanoğlu M,Kıran H,Gizir M A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. . 2020; 29 - 34. 10.4274/tjod.galenos.2020.66592
IEEE Bakacak Z,DEMİREL A,Bakacak M,URFALIOGLU A,YAYLALI A,BORAN Ö,Kaplanoğlu M,Kıran H,Gizir M "A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety." , ss.29 - 34, 2020. 10.4274/tjod.galenos.2020.66592
ISNAD Bakacak, Zeyneb vd. "A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety". (2020), 29-34. https://doi.org/10.4274/tjod.galenos.2020.66592
APA Bakacak Z, DEMİREL A, Bakacak M, URFALIOGLU A, YAYLALI A, BORAN Ö, Kaplanoğlu M, Kıran H, Gizir M (2020). A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. Turkish Journal of Obstetrics and Gynecology, 17(4), 29 - 34. 10.4274/tjod.galenos.2020.66592
Chicago Bakacak Zeyneb,DEMİREL ADNAN,Bakacak Murat,URFALIOGLU AYKUT,YAYLALI ASLI,BORAN ÖMER FARUK,Kaplanoğlu Mustafa,Kıran Hakan,Gizir Mehtap A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. Turkish Journal of Obstetrics and Gynecology 17, no.4 (2020): 29 - 34. 10.4274/tjod.galenos.2020.66592
MLA Bakacak Zeyneb,DEMİREL ADNAN,Bakacak Murat,URFALIOGLU AYKUT,YAYLALI ASLI,BORAN ÖMER FARUK,Kaplanoğlu Mustafa,Kıran Hakan,Gizir Mehtap A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. Turkish Journal of Obstetrics and Gynecology, vol.17, no.4, 2020, ss.29 - 34. 10.4274/tjod.galenos.2020.66592
AMA Bakacak Z,DEMİREL A,Bakacak M,URFALIOGLU A,YAYLALI A,BORAN Ö,Kaplanoğlu M,Kıran H,Gizir M A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. Turkish Journal of Obstetrics and Gynecology. 2020; 17(4): 29 - 34. 10.4274/tjod.galenos.2020.66592
Vancouver Bakacak Z,DEMİREL A,Bakacak M,URFALIOGLU A,YAYLALI A,BORAN Ö,Kaplanoğlu M,Kıran H,Gizir M A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety. Turkish Journal of Obstetrics and Gynecology. 2020; 17(4): 29 - 34. 10.4274/tjod.galenos.2020.66592
IEEE Bakacak Z,DEMİREL A,Bakacak M,URFALIOGLU A,YAYLALI A,BORAN Ö,Kaplanoğlu M,Kıran H,Gizir M "A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety." Turkish Journal of Obstetrics and Gynecology, 17, ss.29 - 34, 2020. 10.4274/tjod.galenos.2020.66592
ISNAD Bakacak, Zeyneb vd. "A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety". Turkish Journal of Obstetrics and Gynecology 17/4 (2020), 29-34. https://doi.org/10.4274/tjod.galenos.2020.66592