Transcutaneous Electrical Nerve Stimulation at the Acupuncture Points on Relieve Pain of Patients under Mechanical Ventilation: A Randomized Controlled Study.
Author: AminiSaman J1, Mohammadi S2, Karimpour H3, Hemmatpour B4, Sharifi H5, Kawyannejad R6
Affiliation:
1Department of Anesthesia, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: aminisamanj99@gmail.com.
2Department of Anesthesia, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: dr.saidmohamadi@gmail.com.
3Department of Anesthesia, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: hooman.karimpour@yahoo.com.
4Department of Nursing, School of Nursing, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: behzad_hammatpoor@yahoo.com.
5School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: H.sharifi73@yahoo.com.
6Department of Anesthesia, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: r.kaviannezhad@kums.ac.ir.
Conference/Journal: J Acupunct Meridian Stud.
Date published: 2018 Jul 20
Other:
Pages: S2005-2901(17)30235-2 , Special Notes: doi: 10.1016/j.jams.2018.06.008. [Epub ahead of print] , Word Count: 226
BACKGROUND AND OBJECTIVE: Electrical stimulation and acupuncture points as non-pharmacological methods, have been the focus of pain reduction in different patients. This study is aimed at determining the effects of transcutaneous electrical nerve stimulation (TENS) on the acupuncture points of pain in patients under mechanical ventilators.
MATERIALS AND METHODS: This randomized, double blind clinical trial study was conducted on 50 patients undergoing mechanical ventilation in intensive care units of ImamReza hospital in Kermanshah, Iran in 2017. The patients were randomly allocated into intervention and placebo groups. In the intervention group, TENS electrodes were placed on points Hegu and Zusanli. Pain severity was measured using the CPOT Scale, and the dosages of narcotics and sedation intake were recorded. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) software version 19.
RESULTS: The level of pain in patients decreased in the intervention group in comparison with the sham group and this decline was significant during certain hours (P<0.05). The amount of used analgesic and sedation drugs was less significant in the intervention group compared to the sham group (P=0.01) (P=0.04).
CONCLUSION: The results showed that the use of TENS on Acupuncture Points can decrease the level of pain and opioid consumption in intubated patients under a mechanical ventilator.
Copyright © 2018. Published by Elsevier B.V.
KEYWORDS: Acupuncture; Hegu; Intensive care unit; Pain management; Zusanli
PMID: 30036691 DOI: 10.1016/j.jams.2018.06.008
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