Application of acupuncture analgesia in pediatric urinary genital inguinal surgery
Keywords:
ACUPUNCTURE ANALGESIA, MEDICINE, CHINESE TRADITIONAL, SURGERY, PATIENTS.Abstract
Introduction: acupuncture analgesia produces mechanical or electrical stimulation in different points of the body, increasing the pain threshold and helping the patient to support different types of surgical intervention.
Objective: to assess the application of acupuncture analgesia in urinary genital inguinal surgery at Pepe Portilla Provincial Pediatric Teaching Hospital.
Methods: an observational, descriptive and cross-sectional study that included 260 patients undergoing surgeries applying acupuncture analgesia between 2011 and 2017 was conducted. The data were obtained from the patient's medical records. The variables were: age, gender, surgical area, effectiveness of treatment, complications, anesthetic recovery, duration of the analgesic action and economic expenses; which were analyzed by descriptive statistics.
Results: male sex predominated (78,1 %), the ages comprised between 13 - 18 years. The inguinal region was the most intervened area (76,1 %); 93,9 % of the patients showed good outcomes, 2,7 % had a regular response in genital surgery and 3,4 % a poor outcome in inguinal surgery. Only 19 patients (7,3 %) presented some type of complications, pain was the most frequent (10 cases). Anesthetic recovery was favorable in 241 patients (92,7 %). The cost of the surgical materials used represents $ 0,99 for each surgery, which amounts of $ 257,4 in a total of 260 surgical interventions performed.
Conclusions: the application of acupuncture analgesia in pediatric urinary genital inguinal surgery presented a good response to this treatment, observing infrequent complications, favorable anesthetic recovery and an ample scientific value, as well as low socioeconomic expenses.
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References
1. Píriz H, Castromán P, Ayala S, Reta G, Ayala W. Acupuntura: efecto analgésico agudo en pacientes con dolor osteoarticular. Anest Analg Reanim [Internet]. 2013 Dic [citado 2018/12/12]; 26(2): [aprox. 0p.]. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12732013000200005&lng=es
2. Pagola Bérger VV. Analgesia Quirúrgica Acupuntural: Estudio de la efectividad de dos técnicas en Villa Clara [Tesis Doctoral]. Santa Clara, Cuba: Universidad de Ciencias Médicas “Dr. Serafín Ruiz de Zarate Ruíz”; 2008.
3. Ramos Portuondo H, Arias Chacón M, de la Fe Batista L, Ogra Álvarez C. Analgesia Acupuntural en la actividad quirúrgica. Realidad práctica alternativa. Rev. Pol. Con. [Internet]. Mar 2017 [citado 2018/12/12]; 2(3): [aprox. 15p.]. Disponible en https://polodelconocimiento.com/ojs/index.php/es/article/view/22/pdf#
4. López Pellón H. 20 Aniversario de la directiva número 26 del General deEjército Raúl Castro Ruz. Revista Cubana de Medicina Natural y Tradicional. [Internet]. 2016 [citado 2018/12/12]; 1(1). Disponible en: http://revmnt.sld.cu/index.php/rmnt/article/view/13/29
5. González Barreto Y. Características psicológicas de adolescentes varones sometidos a intervención quirúrgica por Urología con analgesia acupuntural en Pinar del Río [Tesis]. Pinar del Río: Universidad de Ciencias Médicas de Pinar del Río; 2015.
6. Giraldez Collera LM. Aplican Analgesia Acupuntural en cirugía urológica infantil. [Internet] Isla al Sur; 2015 Abril 16. [1 pantalla]. Disponible en: http://islalsur.blogia.com/2015/041606-aplican-analgesia-acupuntural-en-cirugia-urologica-infantil.php
7. González Pla EA. Teorías Occidentales que explican la acción de la Acupuntura; 2016. p.30.
8. Sánchez Valdeolla OE. La analgesia quirúrgica acupuntural como método anestésico. Archivo Médico de Camagüey [Internet]. 2000 [citado 2018/01/09]; 4(1): [aprox. 0p.]. Disponible en: http://revistaamc.sld.cu/index.php/amc/article/view/3490
9. Naranjo Zambrano YJ. Importancia de la anestesia acupuntural. [Tesis de Maestria] Bogotá, Colombia: Universidad Nacional de Colombia; 2017. Disponible en: http://www.bdigital.unal.edu.co/57073/
10.Portela Fernández T, Alba Conde M, Capote C, Blázquez Marchena N. Tratamiento acupuntural, practica de avanzada en la cirugía ambulatoria. XVII Congreso de la Sociedad Cubana de Enfermería; Enero-Marzo 2016. Disponible en: www.enfermeria2017.sld.cu/index.php/enfermeria/2017/paper/download/446/397
11. Ibáñez Morales M, Rodríguez Romero A, Armas Pedroso G. Analgesia quirúrgica acupuntural (AQA) con y sin premedicación en la cirugía de glaucoma. AMC [Internet]. 2004 Jun [citado 2018/01/20]; 8(3): [aprox. 8p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552004000300007&lng=es
12. Martínez Ortiz LA, León Rojas M. Analgesia quirúrgica acupuntural Vs Anestesia espinal en hernias inguinales. Hospital “General Calixto García”. 2015. Archivos del Hospital Universitario "General Calixto García" [Internet]. 2016 [citado 2018/03/18]; 4(3): [aprox. 8p.]. Disponible en: http://www.revcalixto.sld.cu/index.php/ahcg/article/view/137
13. Hernández Campo PR, Ferreiro Valdés TM, Rabelo Llanio W, Mirabal ME, Iglesias Rodríguez NP. Varicocelectomía con analgesia acupuntural. Servicios de Urología. Hospitales Provinciales Clínico-Quirúrgicos. Pinar del Río 2002-2005. Rev Ciencias Médicas [Internet]. 2008 Jun [citado 2018 /12/12]; 12(1): [aprox. 10p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942008000100001&lng=es
14. Molina A, et al. La Acupuntura vs. Ibuprofeno como técnica analgésica para el tratamiento del dolor posoperatorio en la cirugía del tercer molar inferior retenido. Rev.Venez.Invest.Odont. [Internet]. 2017 [citado 2018/03/18]; 5(2): [aprox. 14p.]. Disponible en: http://erevistas.saber.ula.ve/index.php/rvio/article/view/8223
15. Aranda Álvarez R, et al. Analgesia acupuntural. Su aplicación en estomatología. Revista de Medicina Isla de la Juventud [Internet]. 2014 [citado 2018/03/18]; 14(2): [aprox. 20p.]. Disponible en: http://www.remij.sld.cu/index.php/remij/article/view/79
16. Capote Coren C, Alba Conde M, Cruz Martínez O. Beneficio económico de la acupuntura en pacientes con cirugía ambulatoria. Centro especializado ambulatorio. Cienfuegos. En Convención Salud 2015. 2015. Disponible en: http://www.convencionsalud2015.sld.cu/index.php/convencionsalud/2015/paper/viewPaper/1591

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