Biblioteca de los Sistemas de Salud de la OMS
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Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials
(87 pages)

Índice de contenido
Ver el documentoAcknowledgements
Abrir esta carpeta y ver su contenidoIntroduction
Abrir esta carpeta y ver su contenido1. General considerations
cerrar esta carpeta2. Review of clinical trial reports
cerrar esta carpeta2.1. Pain
Ver el documento2.1.1. Head and face
Ver el documento2.1.2. Locomotor system
Ver el documento2.1.3. Gout
Ver el documento2.1.4. Biliary and renal colic
Ver el documento2.1.5. Traumatic or postoperative pain
Ver el documento2.1.6. Dentistry
Ver el documento2.1.7. Childbirth
Ver el documento2.1.8. Surgery
Ver el documento2.2. Infections
Ver el documento2.3. Neurological disorders
Ver el documento2.4. Respiratory disorders
Ver el documento2.5. Digestive disorders
Ver el documento2.6. Blood disorders
Ver el documento2.7. Urogenital disorders
Ver el documento2.8. Gynaecological and obstetric disorders
Ver el documento2.9. Cardiovascular disorders
Ver el documento2.10. Psychiatric disorders and mental disturbances
Ver el documento2.11. Paediatric disorders
Ver el documento2.12. Disorders of the sense organs
Ver el documento2.13. Skin diseases
Ver el documento2.14. Cancers
Ver el documento2.15. Other reports
Ver el documento3. Diseases and disorders that can be treated with acupuncture
Ver el documento4. Summary table of controlled clinical trials
Ver el documentoReferences
 

2.1.8. Surgery

Acupuncture analgesia has the following advantages in surgical operations. It is a very safe procedure compared with drug anaesthesia; no death has ever been reported from acupuncture analgesia. There is no adverse effect on physiological functions, whereas general anaesthesia often interferes with respiration and blood pressure, for example. There are fewer of the postoperative complications that sometimes occur after general anaesthesia, such as nausea, urinary retention, constipation, and respiratory infections. The patient remains conscious and able to talk with the medical team during the operation so that injury of the facial and recurrent laryngeal nerve can be avoided. However, remaining conscious may be a disadvantage if the patient cannot tolerate the emotional stress of the procedure.

While the benefits of acupuncture analgesia are many, the disadvantages must also be considered. The use of acupuncture is more time-consuming and in many cases may fail to bring about complete analgesia. It is often not suitable for abdominal surgery because suppression of visceral pain and muscle relaxation may be inadequate. It is not suitable in children because few children will tolerate the needling and keep still during major surgery. Also, the surgeon must be quick and deft, so that the operation can be finished before the patient develops tolerance to the needling.

In conclusion, acupuncture analgesia as an anaesthetic for surgical procedures is indicated in selected patients who show a good response to needling in the preoperative trial, particularly when they may be a poor surgical risk under conventional general anaesthesia. The use of adjuvant drugs to potentiate the effect of the acupuncture treatment is preferred. Acupuncture can also be used in combination with general anaesthesia to reduce the dosage of anaesthetic agents (83).

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Última actualización: le 4 mayo 2012