Guest guest Posted July 15, 2007 Report Share Posted July 15, 2007 Hi All, Hodzic J, Golka K, Selinski S, Pourvali H, Sommerfeld HJ. [Analgesia with acupuncture in extracorporeal shock wave lithotripsy of kidney stones - first results.] [Article in German] Urologe A. 2007 Jul;46(7):740-747. Klinik für Urologie und Kinderurologie, Marien-Hospital, Hervester Straße 57, 45768, Marl, Deutschland, dr.j.hodzic. INTRODUCTION: To date, extracorporeal shock wave lithotripsy (ESWL) has been successfully used with awake anaesthesia. The aim of this study was to investigate whether acupuncture at certain acupuncture points can lower or even substitute the demand for analgesics. SUBJECTS AND METHODS: ESWL treatments were selected for the two groups using the registration number for randomisation. Both groups rated pain sensation prior to the ESWL treatment using a numeric pain scale. The subjects in the analgesic group received 50 mg pethidine and 10 mg diazepam whereas the subjects in the acupuncture group received acupuncture at the points colon 4 bilateral, liver 3 bilateral, urinary bladder 23 bilateral, gall bladder 25 contralateral to the stone, circulation 6 bilateral, and Ren Mai. Every minute till 21 min after starting the therapy and 10 min after termination, the pain sensation was rated. Analgesics were intravenously applied in all subjects reporting a pain sensation higher than 5. Additionally, the pain management was rated with a non-evaluated questionnaire. RESULTS: In the present study on 102 patients, analgesia by acupuncture was successfully applied to patients who underwent ESWL. The analgesic effect of acupuncture was significantly superior to the analgesic effect of analgesics. In the group treated by acupuncture, 20 subjects received additionally analgesics. In general, these subjects presented bigger kidney stones and were younger. Subjects with left-sided kidney stones required more frequently analgesics. The results were not significant. PMID: 17619207 [PubMed - as supplied by publisher] Ma SX, Li XY, Sakurai T, Pandjaitan M. Evidence of enhanced non- enzymatic generation of nitric oxide on the skin surface of acupuncture points: An innovative approach in humans. Nitric Oxide. 2007 May 31; [Epub ahead of print] Department of Obstetrics and Gynecology, David Geffen School of Medicine at University of California at Los Angeles, Harbor-UCLA Medical Center, 1124 W. Carson Street, RB-1, Torrance, CA 90502, USA. The present study quantified total nitrate and nitrite (NOx-) collected from the skin surface along acupuncture points (acupoints) and determined whether non-enzymatic reduction of nitrate by bacteria is involved in chemical generation of nitric oxide (NO) on acupoints. A small plastic tube (0.5x7cm) cut in half lengthwise was taped to the forearm or leg in 50 healthy volunteers. NO-collecting solutions with NO-scavenging compounds, hemoglobin or 2-phenyl-4,4,5,5-tetramethylimidazoline-1-oxyl 3-oxide, was placed inside the tubing attached to the skin surface for 20min. The concentrations of NOx- in the collected samples were quantified by using chemiluminescence. NOx- concentration was significantly enhanced in four acupoints on the pericardium meridian and in two acupoints on the bladder meridian compared with those collected on non-meridian control areas. The time intervals of NOx- levels were significantly higher at the first 20min of acupoint collection, but the concentrations were similar among the study groups collected at 20-40, 40-60, and 60-80min. NOx- concentrations and numbers of bacteria colonies detected on the skin surface were markedly reduced by pretreatment of skin with sodium hypochlorite compared to water treatment. This is the first evidence showing that NO has been successfully quantified on skin acupoints by a non-invasive device in humans. We conclude that NO is physiologically released from the skin surface with a higher level at acupoints, and that the non-enzymatic reduction of nitrate by bacteria is involved in chemical generation of NO on skin acupoints in addition to l-arginine-derived NO synthesis. PMID: 17613264 [PubMed - as supplied by publisher] Huang Y, Chen J, Htut WM, Lai X, Wik G. Acupuncture increases cerebral glucose metabolism in . Int J Neurosci. 2007 Jul;117(7):1029-37. Department of Traditional , Southern Medical University, Guangzhou, China. nanfanglihuang Recent studies indicate beneficial effects of acupuncture in the rehabilitation of vascular dementia (VaD). This study used 18-flourodeoxyglucose PET measures to compare cerebral effects of conventional acupuncture for hemiplegia with that of additional VaD-specific needling. As compared to baseline, conventional acupuncture increased glucose metabolism in the temporal lobe of unaffected and in the lentiform nucleus of the affected hemisphere. Additional needling in VaD-specific points rendered higher metabolism bilaterally in the frontal lobes and the thalamus, and in the temporal lobe and the lentiform nucleus of the unaffected hemisphere. The findings further underpin acupuncture's role in stroke and VaD rehabilitation. PMID: 17613112 [PubMed - in process] Best regards, Quote Link to comment Share on other sites More sharing options...
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