Comparison of the efficacy of diclofenac, acupuncture, and acetaminophen in the treatment of renal colic - Abstract
Published: 08 May 2015
METHODS: Renal colic patients were divided randomly into 3 groups. Patients in group I (n = 40) were treated with intravenous acetaminophen, those in group II (n = 41) with acupuncture, and those in group III (n = 40) with a 75-mg intramuscular injection diclofenac sodium. Visual analogue scale (VAS) and verbal rating scale (VRS) were used to assess pain intensity after 10, 30, 60, and 120 minutes.
RESULTS: No significant differences in baseline VAS or VRS were found with regard to age or sex. After 10 minutes, all 3 groups experienced a significant decrease in VAS and VRS scores, with the most drastic decrease occurring in group II. After 30 minutes, there was a significantly higher decrease in group III than in group I (P = .001). After 60 minutes, mean VAS scores of groups I and III (P = .753) were similar. The mean VAS score of group III was lower than that of group II (P = .013). After 120 minutes, the difference in the VAS scores was (P = .000) between groups I and II and between groups II and III. Yet, the VAS evaluation made after 120 minutes revealed statistically similar outcomes for groups I and III (P = .488). The statistical findings for VRS evaluations made after 10, 30, 60, and 120 were similar to those for VAS.
CONCLUSIONS: In renal colic patients with a possible nonsteroidal anti-inflammatory drug and acetaminophen side effect risk, acupuncture emerges as an alternative treatment modality.
Written by:
Kaynar M, Koyuncu F, Buldu İ, Tekinarslan E, Tepeler A, Karatağ T, İstanbulluoğlu MO, Ceylan K.
Department of Urology, Selcuk University, Faculty of Medicine, Konya, Turkey; Department of Emergency Medicine, Beyhekim State Hospital, Konya, Turkey; Department of Urology, Mevlana University, Faculty of Medicine, Konya, Turkey; Department of Urology, Konya Education and Research Hospital, Konya, Turkey; Department of Urology, Bezmialem Vakıf University, Faculty of Medicine, Istanbul,Turkey. mekaynar@gmail.com
Reference: Am J Emerg Med. 2015 Feb 25. pii: S0735-6757(15)00122-9.
doi: 10.1016/j.ajem.2015.02.033
PubMed Abstract
PMID: 25827597
UroToday.com Stone Disease Section
RESULTS: No significant differences in baseline VAS or VRS were found with regard to age or sex. After 10 minutes, all 3 groups experienced a significant decrease in VAS and VRS scores, with the most drastic decrease occurring in group II. After 30 minutes, there was a significantly higher decrease in group III than in group I (P = .001). After 60 minutes, mean VAS scores of groups I and III (P = .753) were similar. The mean VAS score of group III was lower than that of group II (P = .013). After 120 minutes, the difference in the VAS scores was (P = .000) between groups I and II and between groups II and III. Yet, the VAS evaluation made after 120 minutes revealed statistically similar outcomes for groups I and III (P = .488). The statistical findings for VRS evaluations made after 10, 30, 60, and 120 were similar to those for VAS.
CONCLUSIONS: In renal colic patients with a possible nonsteroidal anti-inflammatory drug and acetaminophen side effect risk, acupuncture emerges as an alternative treatment modality.
Written by:
Kaynar M, Koyuncu F, Buldu İ, Tekinarslan E, Tepeler A, Karatağ T, İstanbulluoğlu MO, Ceylan K.
Department of Urology, Selcuk University, Faculty of Medicine, Konya, Turkey; Department of Emergency Medicine, Beyhekim State Hospital, Konya, Turkey; Department of Urology, Mevlana University, Faculty of Medicine, Konya, Turkey; Department of Urology, Konya Education and Research Hospital, Konya, Turkey; Department of Urology, Bezmialem Vakıf University, Faculty of Medicine, Istanbul,Turkey. mekaynar@gmail.com
Reference: Am J Emerg Med. 2015 Feb 25. pii: S0735-6757(15)00122-9.
doi: 10.1016/j.ajem.2015.02.033
PubMed Abstract
PMID: 25827597
UroToday.com Stone Disease Section
3 comments:
Acupuncture procedures are very effective than inactive medications for relieving post-treatment pain. Acupuncture treatments take approximately 25 minutes, but again the acupuncture Mississauga therapy can vary, depending on the patient's condition.
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Nice blog...Thank u for sharing this information.It's very helpful to all.Acupuncture Treatments is very useful for relief pain.There are many other advantages also like use for Back-pain.Thanks for sharing your experience with us.
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