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. 2023 Jan 9:9:968433.
doi: 10.3389/fmed.2022.968433. eCollection 2022.

Acupressure versus parecoxib sodium in acute renal colic: A prospective cohort study

Chiwei Chen  1   2   3 , Zhenpeng Zhang  4 , Mandi Lin  1 , Zhigang Wang  1 , Hao Liu  1 , Hao Meng  1 , Jun Wang  1 , Ming Chen  1 , Songtao Xiang  2   3 , Yunqiao Qiu  1 , Hong Liu  1
Affiliations

Acupressure versus parecoxib sodium in acute renal colic: A prospective cohort study

Chiwei Chen et al. Front Med (Lausanne). .

Abstract

Background: Here provides a complementary treatment, acupressure at the Qiu acupoint, a novel acupoint, which potentially alleviates renal colic.

Materials and methods: 90 patients were included in this study. Acupressure-group patients (n = 46) were administered acupressure at the Qiu acupoint following a preset protocol. Parecoxib sodium-group patients (n = 44) were administered parecoxib sodium (40 mg) (via the direct intravenous route). The visual analog scale (VAS) was used to evaluate pain intensity at baseline and at 1, 5, 10, 20, 30, and 120 min after initiating the intervention. Linear mixed effects model was performed to detect the rate of decrease of VAS per time and their covariant effect on the efficacy of acupressure.

Results: No significant statistical differences in baseline data and VAS scores were observed. The acupressure group obtained lower VAS scores at the 1st, 5th, 10th, and 20th minute than the parecoxib sodium group after initiating the intervention (mean: 4.33 vs. 7.61, mean difference (MD): 3.29, 95% CI: 0.23, 2.84; mean: 2.65 vs. 7.61, MD: 4.96, 95% CI: 4.44, 5.49; mean: 1.63 vs. 6.59, MD: 4.96, 95% CI: 4.48, 5.44; mean: 1.26 vs. 3.64 MD: 2.38, 95% CI: 1.87, 2.88; P < 0.05). The markedly effective rate was similar between the two groups. The linear mixed effects model demonstrated that acupressure at the Qiu point was significantly faster than parecoxib sodium in decreasing VAS scores with an estimate of -2.05 (95% CI: -2.51, -1.59, p = 0.000), especially within 10 minutes with an estimate of 0.18 (95% CI: 0.12, 0.25, p = 0.000).

Conclusion: Acupressure at the Qiu acupoint is significantly faster than parecoxib sodium in decreasing VAS scores within 10 minutes.

Clinical trial registration: http://www.chictr.org.cn/, identifier 2100047168.

Keywords: NSAIDs; acupressure; alternative therapy; parecoxib sodium; renal colic.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Anatomical location of Qiu acupoint (26).
FIGURE 2
FIGURE 2
Flow chart of the study.
FIGURE 3
FIGURE 3
Visual analog scale (VAS) decrease between the acupressure group and parecoxib sodium group before and after propensity score matching (PSM).
See this image and copyright information in PMC

References

    1. Bultitude M, Rees J. Management of renal colic. BMJ. (2012) 345:e5499. 10.1136/bmj.e5499 - DOI - PubMed
    1. Cervellin G, Mora R, Ticinesi A, Meschi T, Comelli I, Catena F, et al. Epidemiology and outcomes of acute abdominal pain in a large urban emergency department: retrospective analysis of 5,340 cases. Ann Transl Med. (2016) 4:362. 10.21037/atm.2016.09.10 - DOI - PMC - PubMed
    1. Gandhi A, Hashemzehi T, Batura D. The management of acute renal colic. Br J Hosp Med. (2019) 80:C2–6. 10.12968/hmed.2019.80.1.C2 - DOI - PubMed
    1. Cupisti A, Pasquali E, Lusso S, Carlino F, Orsitto E, Melandri R. Renal colic in pisa emergency department: epidemiology, diagnostics and treatment patterns. Intern Emerg Med. (2008) 3:241–4. 10.1007/s11739-008-0145-z - DOI - PubMed
    1. Pathan S, Mitra B, Cameron P. A systematic review and meta-analysis comparing the efficacy of nonsteroidal anti-inflammatory drugs, opioids, and paracetamol in the treatment of acute renal colic. Eur Urol. (2018) 73:583–95. 10.1016/j.eururo.2017.11.001 - DOI - PubMed

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