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San Raffaele del Monte Tabor Foundation - News
Acupuncture tested to reduce anxiety levels in cataract patients

December 30, 2006
Acupuncture tested
to reduce anxiety levels in cataract patients
Source:
EyeWorld
Article
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Gioia L, Cabrini L, Gemma M, Fiori R, Fasce F, Bolognesi G, Spinelli
A, Beretta L. Sedative effect of acupuncture during cataract surgery:
prospective randomized double-blind study. J Cataract Refract Surg.
2006 Nov;32(11):1951-4.
Departments of Anesthesiology, Vita-Salute University of Milan, and
H. San Raffaele, Milan, Italy.
PURPOSE: To assess the effectiveness of acupuncture in reducing anxiety
in patients having cataract surgery under topical anesthesia. SETTING:
Vita-Salute University of Milan and IRCCS H. San Raffaele, Milan, Italy.
METHODS: In a prospective randomized double-blind controlled trial,
anxiety levels before and after cataract surgery in 3 groups (A = no
acupuncture, B = true acupuncture starting 20 minutes before surgery,
C = sham acupuncture starting 20 minutes before surgery) were compared
using the Visual Analog Scale (VAS). Twenty-five patients scheduled
for inpatient phacoemulsification were enrolled in each group. All surgeries
were performed using topical anesthesia. Exclusion criteria were refusal
to provide informed consent, use of drugs with sedative properties,
psychiatric disease, pregnancy, knowledge of the principles of acupuncture,
anatomic alterations, or cutaneous infections precluding acupuncture
at the selected acupoints. RESULTS: Preoperative anxiety levels were
significantly lower only in Group B (P = .001). Anxiety in Group B was
significantly lower than in Group A (P = .001) and Group C (P = .037).
Regarding postoperative anxiety, the mean VAS score was 39 +/- 5 in
Group A, 19 +/- 3 in Group B, and 31 +/- 4 in Group C. The difference
was significant only between Group A and Group B (P = .003). CONCLUSION:
Acupuncture was effective in reducing anxiety related to cataract surgery
under topical anesthesia.
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Edited by Giovanna Stancanelli and Aldo Campana,
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