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Anesth Analg 1977; 56:473-478
© 1977 International Anesthesia Research Society
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Comparison of the Effects of Acupuncture and Codeine on Postoperative Dental Pain

Y. F. SUNG, MD*, M. H. KUTNER, PhD{dagger}, F. C. CERINE, DDS{ddagger}, and E. L. FREDERICKSON, MD§

*Assistant Professor of Anesthesiology. {dagger}Associate Professor of Biometry. {ddagger}Chief, Dental Service, Veterans Administration Hospital, Atlanta, Georgia. §Professor of Anesthesiology and Pharmacology. Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia 30322.

Abstract

The analgesic effects of acupuncture were compared with those of codeine in the treatment of postoperative dental pain in 40 healthy male volunteers 18 to 30 years old.

Upon the patient's recovery from local anesthesia (lidocaine), he was asked by a trained observer to classify the intensity of his pain as none, mild, moderate, or severe. He then received one of the following treatments:

1. Placebo: lactose, plus acupuncture placebo

2. Codeine: codeine, plus acupuncture placebo

3. Acupuncture (Ho-Ku): lactose, plus 2 Ho-Ku points

4. Codeine-acupuncture: codeine, plus 2 Ho-Ku points

The pain intensity score was recorded by the observer at half-hour intervals for 3 hours. Patients in treatment groups 2, 3 and 4 showed significantly greater pain relief than those in treatment group 1. For the 1st half hour, there was more pain relief with Ho-Ku alone than with codeine plus Ho-Ko (p<0.01). However, for the 2, 2 1/2, and 3-hour periods, codeine plus Ho-Ku produced more pain relief than any of the other treatments.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.