H. P. Ogal 1, H. Hammermann 2, C. Schellenberg 1, J. Henning 3, R. Luedke 4, S. Duennes 1, W. Krumholz , 3, H. Glanz 2, G. Hemelmann 1
Department of Anaesthesiology and Intensive Care Medicine, Justus-Liebig-University, Giessen, Germany
Department of ENT, Justus-Liebig-University ,Giessen, Gerrnany 2
Department of Psychology, Justus-Liebig-University,Giessen ,Germany 3
Institute of Medical Information Processing, University of Tuebingen, Germany 4
Department of Anaesthesiology, Bethlehem Hospital, Stolberg, Gerrnany 5
In this case, acupuncture at Ren Mai 24 was compared to the usual procedure (Lidocain spray). 36 patients with increased retching reflex (gag-reflex) were chosen and each pa-tient in the experimental randomized 3×3 cross-over design was laryngoscopied three times.
The investigational process was standardized. Objective and subjective stress indicators (heart rate, salivary cortisol, visual analog scale) were compiled and intra-individually evaluated. The following pre-treatments were randomized and blind studied:
– Acupuncture at Ren Mai 24
– Topical anaesthesia with lidocain spray
– Control group without pre-treatment Results:
– The group with acupuncture at Ren Mai 24 (p<0.005) as well as the group with topical anaesthesia with lidocain spray (p<0.01) differed significantly from the control group.
In the present investigation of patients with a pathological increased retching reflex (gag-reflex), there was a significant reduction of the retching reflex, which was obtained by applying the acupuncture of the Ren Mai 24 (p<0.005) spot as well as the usual method (topical anaesthesia with lidocain spray) (p<0.01). The advantages of acupuncture treatment are the maintained aspiration protection, the time-restrictable effect, non-occurrence of dysaesthesia (burning, choking) and the possible application of an additional topical anaesthesia in cases of insufficient effect.
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