A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety/Histerosalpingografi iliskili agri ve anksiyetede elektro-akupunktur tedavisi: Randomize pilot calisma

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...

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Veröffentlicht in:Turkish journal of obstetrics and gynecology 2020-12, Vol.17 (4), p.253
Hauptverfasser: Bakacak, Zeyneb, Demirel, Adnan, Bakacak, Murat, Urfalioglu, Aykut, Yaylali, Asli, Boran, Ömer Faruk, Kaplanoglu, Mustafa, Kiran, Hakan, Gizir, Mehtap
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container_issue 4
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container_title Turkish journal of obstetrics and gynecology
container_volume 17
creator Bakacak, Zeyneb
Demirel, Adnan
Bakacak, Murat
Urfalioglu, Aykut
Yaylali, Asli
Boran, Ömer Faruk
Kaplanoglu, Mustafa
Kiran, Hakan
Gizir, Mehtap
description 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
doi_str_mv 10.4274/tjod.galenos.2020.66592
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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&lt;0.001, p&lt;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. Keywords: Acupuncture, anxiety, hysterosalpingography, pain relief Amaç: Akupunkturun histerosalpingografiye (HSG) bagli agri ve anksiyeteyi azaltici etkisini arastirmak. Gereç ve Yöntemler: HSG çekimi planlanan 107 hasta randomize olarak üç gruba ayrildi. Akupunktur grubu (n=36), Intramüsküler diklofenac sodyum grubu (n=35), kontrol grubu (n=37). Akupunktur grubuna islem öncesi, belirlenen noktalara 20 dakika elektroakupunktur uygulandi. Intramüsküler diklofenac sodyum grubunda hastalara islemden 30 dakika önce 75 mg diklofenac sodyum intramüsküler uygulandi. Islem öncesi ve sonrasi belirlenen zamanlarda Görsel Anolog ölçegi (VAS) agri ve State-trait Anxiety inventory-state (STAI-S) ile anksiyete ölçümleri yapildi. Bulgular: HSG'den sonra 1. ve 5. dakika VAS skorlari akupunktur ve intramüsküler diklofenac sodyum gruplarinda birbirlerine benzer ve kontrol grubuna göre anlamli düzeyde düsük bulunurken 30. dakikadaki VAS skorlari arasinda üç grup içerisinde anlamli bir fark yoktu. STAI-S skorlari islemden 1 saat önce tüm gruplarda benzer iken (p=0,563). Islem öncesi 5. dakikada yani akupunktur grubunda akupunktur sonrasi, intramüsküler diklofenac sodyum grubunda ise diclofenac enjeksiyonu sonrasi ve islem sonrasi 30. dakikada saptanan STAI-S degerleri karsilastirildiginda akupunktur grubunda digerlerine göre daha düsük seviyelerde izlenmistir (p&lt;0,001 ve p&lt;0,001). Sonuç: Akupunkturun agriyi azaltici etkisi diger analjeziklerle benzer olmasi ve ilave olarak anksiyete azaltici etkinligi nedeniyle uygun kliniklerde HSG çekimlerinde kullanilabilir. Anahtar Kelimeler: Akupunktur, anksiyete, histerosalpingografi, agri kesici PRECIS: Acupuncture has similar effects on the reduction of pain as other analgesics and reduces anxiety.</description><identifier>ISSN: 2149-9322</identifier><identifier>DOI: 10.4274/tjod.galenos.2020.66592</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Anxiety ; Care and treatment ; Causes of ; Complications and side effects ; Electroacupuncture ; Hysterosalpingography ; Pain</subject><ispartof>Turkish journal of obstetrics and gynecology, 2020-12, Vol.17 (4), p.253</ispartof><rights>COPYRIGHT 2020 Galenos Yayinevi Tic. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Bakacak, Zeyneb</creatorcontrib><creatorcontrib>Demirel, Adnan</creatorcontrib><creatorcontrib>Bakacak, Murat</creatorcontrib><creatorcontrib>Urfalioglu, Aykut</creatorcontrib><creatorcontrib>Yaylali, Asli</creatorcontrib><creatorcontrib>Boran, Ömer Faruk</creatorcontrib><creatorcontrib>Kaplanoglu, Mustafa</creatorcontrib><creatorcontrib>Kiran, Hakan</creatorcontrib><creatorcontrib>Gizir, Mehtap</creatorcontrib><title>A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety/Histerosalpingografi iliskili agri ve anksiyetede elektro-akupunktur tedavisi: Randomize pilot calisma</title><title>Turkish journal of obstetrics and gynecology</title><description>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&lt;0.001, p&lt;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. Keywords: Acupuncture, anxiety, hysterosalpingography, pain relief Amaç: Akupunkturun histerosalpingografiye (HSG) bagli agri ve anksiyeteyi azaltici etkisini arastirmak. Gereç ve Yöntemler: HSG çekimi planlanan 107 hasta randomize olarak üç gruba ayrildi. Akupunktur grubu (n=36), Intramüsküler diklofenac sodyum grubu (n=35), kontrol grubu (n=37). Akupunktur grubuna islem öncesi, belirlenen noktalara 20 dakika elektroakupunktur uygulandi. Intramüsküler diklofenac sodyum grubunda hastalara islemden 30 dakika önce 75 mg diklofenac sodyum intramüsküler uygulandi. Islem öncesi ve sonrasi belirlenen zamanlarda Görsel Anolog ölçegi (VAS) agri ve State-trait Anxiety inventory-state (STAI-S) ile anksiyete ölçümleri yapildi. Bulgular: HSG'den sonra 1. ve 5. dakika VAS skorlari akupunktur ve intramüsküler diklofenac sodyum gruplarinda birbirlerine benzer ve kontrol grubuna göre anlamli düzeyde düsük bulunurken 30. dakikadaki VAS skorlari arasinda üç grup içerisinde anlamli bir fark yoktu. STAI-S skorlari islemden 1 saat önce tüm gruplarda benzer iken (p=0,563). Islem öncesi 5. dakikada yani akupunktur grubunda akupunktur sonrasi, intramüsküler diklofenac sodyum grubunda ise diclofenac enjeksiyonu sonrasi ve islem sonrasi 30. dakikada saptanan STAI-S degerleri karsilastirildiginda akupunktur grubunda digerlerine göre daha düsük seviyelerde izlenmistir (p&lt;0,001 ve p&lt;0,001). Sonuç: Akupunkturun agriyi azaltici etkisi diger analjeziklerle benzer olmasi ve ilave olarak anksiyete azaltici etkinligi nedeniyle uygun kliniklerde HSG çekimlerinde kullanilabilir. Anahtar Kelimeler: Akupunktur, anksiyete, histerosalpingografi, agri kesici PRECIS: Acupuncture has similar effects on the reduction of pain as other analgesics and reduces anxiety.</description><subject>Anxiety</subject><subject>Care and treatment</subject><subject>Causes of</subject><subject>Complications and side effects</subject><subject>Electroacupuncture</subject><subject>Hysterosalpingography</subject><subject>Pain</subject><issn>2149-9322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptkNtKxTAQRfugoKjfYMDn1ja9pPHtIN5AEOS8y9hM6tg2KUmOWD_VrzHHC4hIQiYMe2_WTJIcF3lWcVGdhmersh5GNNZnPOd51jS15DvJPi8qmcqS873kyPvnPM-LVghZ8P3kfcUcGGUnekPFZhptYD5s1MKsZjhiF5xNodvMG9OFjUMWHEKY0ASmrWNPiw_orIdxJtPb3sH8tLAZyDCHI6FmMXz7hRDjwbwShuX0mv66NDEayQ_xYdA7Yi8Y1YOnBaMRtyTDJ8mwJRkiCYt9eCFPZ-z-Z4Bv_g5i1ASHya6G0ePRdz1I1pcX6_Pr9Pbu6uZ8dZv2jeBpybGqNcdaaqVUW7Qt8EeRg4q34TKvha7bSihVVoC8wqYQreQl1liKWGV5kJx8xW5X_0BG2-Cgm8h3D6umElIWTcmjKvtHFY_CiTprUFPs_zJ8AP2wmO0</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Bakacak, Zeyneb</creator><creator>Demirel, Adnan</creator><creator>Bakacak, Murat</creator><creator>Urfalioglu, Aykut</creator><creator>Yaylali, Asli</creator><creator>Boran, Ömer Faruk</creator><creator>Kaplanoglu, Mustafa</creator><creator>Kiran, Hakan</creator><creator>Gizir, Mehtap</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20201201</creationdate><title>A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety/Histerosalpingografi iliskili agri ve anksiyetede elektro-akupunktur tedavisi: Randomize pilot calisma</title><author>Bakacak, Zeyneb ; Demirel, Adnan ; Bakacak, Murat ; Urfalioglu, Aykut ; Yaylali, Asli ; Boran, Ömer Faruk ; Kaplanoglu, Mustafa ; Kiran, Hakan ; Gizir, Mehtap</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g672-32e45f2e59fddd8188a2b70ad0ad629057f5847dd34ae24e6178923e5e3792393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Care and treatment</topic><topic>Causes of</topic><topic>Complications and side effects</topic><topic>Electroacupuncture</topic><topic>Hysterosalpingography</topic><topic>Pain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bakacak, Zeyneb</creatorcontrib><creatorcontrib>Demirel, Adnan</creatorcontrib><creatorcontrib>Bakacak, Murat</creatorcontrib><creatorcontrib>Urfalioglu, Aykut</creatorcontrib><creatorcontrib>Yaylali, Asli</creatorcontrib><creatorcontrib>Boran, Ömer Faruk</creatorcontrib><creatorcontrib>Kaplanoglu, Mustafa</creatorcontrib><creatorcontrib>Kiran, Hakan</creatorcontrib><creatorcontrib>Gizir, Mehtap</creatorcontrib><jtitle>Turkish journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bakacak, Zeyneb</au><au>Demirel, Adnan</au><au>Bakacak, Murat</au><au>Urfalioglu, Aykut</au><au>Yaylali, Asli</au><au>Boran, Ömer Faruk</au><au>Kaplanoglu, Mustafa</au><au>Kiran, Hakan</au><au>Gizir, Mehtap</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety/Histerosalpingografi iliskili agri ve anksiyetede elektro-akupunktur tedavisi: Randomize pilot calisma</atitle><jtitle>Turkish journal of obstetrics and gynecology</jtitle><date>2020-12-01</date><risdate>2020</risdate><volume>17</volume><issue>4</issue><spage>253</spage><pages>253-</pages><issn>2149-9322</issn><abstract>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&lt;0.001, p&lt;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. Keywords: Acupuncture, anxiety, hysterosalpingography, pain relief Amaç: Akupunkturun histerosalpingografiye (HSG) bagli agri ve anksiyeteyi azaltici etkisini arastirmak. Gereç ve Yöntemler: HSG çekimi planlanan 107 hasta randomize olarak üç gruba ayrildi. Akupunktur grubu (n=36), Intramüsküler diklofenac sodyum grubu (n=35), kontrol grubu (n=37). Akupunktur grubuna islem öncesi, belirlenen noktalara 20 dakika elektroakupunktur uygulandi. Intramüsküler diklofenac sodyum grubunda hastalara islemden 30 dakika önce 75 mg diklofenac sodyum intramüsküler uygulandi. Islem öncesi ve sonrasi belirlenen zamanlarda Görsel Anolog ölçegi (VAS) agri ve State-trait Anxiety inventory-state (STAI-S) ile anksiyete ölçümleri yapildi. Bulgular: HSG'den sonra 1. ve 5. dakika VAS skorlari akupunktur ve intramüsküler diklofenac sodyum gruplarinda birbirlerine benzer ve kontrol grubuna göre anlamli düzeyde düsük bulunurken 30. dakikadaki VAS skorlari arasinda üç grup içerisinde anlamli bir fark yoktu. STAI-S skorlari islemden 1 saat önce tüm gruplarda benzer iken (p=0,563). Islem öncesi 5. dakikada yani akupunktur grubunda akupunktur sonrasi, intramüsküler diklofenac sodyum grubunda ise diclofenac enjeksiyonu sonrasi ve islem sonrasi 30. dakikada saptanan STAI-S degerleri karsilastirildiginda akupunktur grubunda digerlerine göre daha düsük seviyelerde izlenmistir (p&lt;0,001 ve p&lt;0,001). Sonuç: Akupunkturun agriyi azaltici etkisi diger analjeziklerle benzer olmasi ve ilave olarak anksiyete azaltici etkinligi nedeniyle uygun kliniklerde HSG çekimlerinde kullanilabilir. Anahtar Kelimeler: Akupunktur, anksiyete, histerosalpingografi, agri kesici PRECIS: Acupuncture has similar effects on the reduction of pain as other analgesics and reduces anxiety.</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/tjod.galenos.2020.66592</doi></addata></record>
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subjects Anxiety
Care and treatment
Causes of
Complications and side effects
Electroacupuncture
Hysterosalpingography
Pain
title A randomized pilot study of electro-acupuncture treatment for hysterosalpingography pain relief and related anxiety/Histerosalpingografi iliskili agri ve anksiyetede elektro-akupunktur tedavisi: Randomize pilot calisma
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