O uso da acupuntura para alívio imediato do zumbido

Detalhes bibliográficos
Autor(a) principal: Okada, Daniel Mochida [UNIFESP]
Data de Publicação: 2006
Outros Autores: Onishi, Ektor Tsuneo [UNIFESP], Chami, Fernando Ioriatti [UNIFESP], Borin, Andrei [UNIFESP], Cassola, Nicolle [UNIFESP], Guerreiro, Viviane Maria [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/001300001bp85
DOI: 10.1590/S0034-72992006000200006
Texto Completo: http://dx.doi.org/10.1590/S0034-72992006000200006
http://repositorio.unifesp.br/handle/11600/3023
Resumo: The treatment of tinnitus, wich is defined as conscientious perception of a sound originated in the ears or nervous system, represents until the current days a great challenge. The use of Acupuncture (ACP) is based on the stimulation with needles of specific points on the human anatomy. A prospective, randomizaded and double-blinded study was carried through in 76 patients taken care of in the Clinic of Tinnitus of the Department of Otorhinolaringology and Head and Neck Surgery of the UNIFESP-EPM in the period understood between April and June of 2005. All the patients had humming complaint and had been submitted to clinical anamnese, physical examination and subsidiary exams in order to investigate its etiology. The patients then were directed to a first researcher that determined an initial numeric value of the humming through Visual Analoge Scale(VAS), varying from 0 to 10 points. After this, had been directed for another room in which an acupuncturist doctor, who did not have access to the initial evaluation, separated the patients in Group Control and Group Study according to the attendance order, in alternating way. The ACP point used in patients of the Group Study places 6,5 cm above of the apex of the auditory pavilion in the parietal region. The point used in the Group Control places 3 cm above of the previous point, in the same vertical line. Then they had been sent back to the initial room for a new evaluation by the first researcher, where they had been guided to redefine the subjective score of the humming. Among the 76 studied patients, 29 were male (38,2%) and 47 female (61,8%), with average age 56,9 + 12,0 years. The Groups Study and Control had counted on 38 patients each. Through the Anova test it was evidenced that it had significant difference (p<0,001) between the moments pre and post needling and that in the group Study this improvement is more evident (p=0,0127). The t-independent test showed that it had a significant difference (p=0,017) between the two moments in the groups Study and Control. We conclude that there was significant reduction of the counting of the moments pre and post needling in both the groups, and in the group study the reduction is greater that in the group control.
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spelling O uso da acupuntura para alívio imediato do zumbidoAcupuncture for tinnitus immediate reliefTinnitusAcupunctureTreatmentzumbidoacupunturatratamentoThe treatment of tinnitus, wich is defined as conscientious perception of a sound originated in the ears or nervous system, represents until the current days a great challenge. The use of Acupuncture (ACP) is based on the stimulation with needles of specific points on the human anatomy. A prospective, randomizaded and double-blinded study was carried through in 76 patients taken care of in the Clinic of Tinnitus of the Department of Otorhinolaringology and Head and Neck Surgery of the UNIFESP-EPM in the period understood between April and June of 2005. All the patients had humming complaint and had been submitted to clinical anamnese, physical examination and subsidiary exams in order to investigate its etiology. The patients then were directed to a first researcher that determined an initial numeric value of the humming through Visual Analoge Scale(VAS), varying from 0 to 10 points. After this, had been directed for another room in which an acupuncturist doctor, who did not have access to the initial evaluation, separated the patients in Group Control and Group Study according to the attendance order, in alternating way. The ACP point used in patients of the Group Study places 6,5 cm above of the apex of the auditory pavilion in the parietal region. The point used in the Group Control places 3 cm above of the previous point, in the same vertical line. Then they had been sent back to the initial room for a new evaluation by the first researcher, where they had been guided to redefine the subjective score of the humming. Among the 76 studied patients, 29 were male (38,2%) and 47 female (61,8%), with average age 56,9 + 12,0 years. The Groups Study and Control had counted on 38 patients each. Through the Anova test it was evidenced that it had significant difference (p<0,001) between the moments pre and post needling and that in the group Study this improvement is more evident (p=0,0127). The t-independent test showed that it had a significant difference (p=0,017) between the two moments in the groups Study and Control. We conclude that there was significant reduction of the counting of the moments pre and post needling in both the groups, and in the group study the reduction is greater that in the group control.O zumbido, definido como percepção consciente de um som originado nas orelhas ou no sistema nervoso do paciente, representa até os dias atuais um grande desafio no que concerne seu tratamento, baseia-se na estimulação com agulhas de pontos específicos definidos sobre a anatomia humana. A utilização da Acupuntura (ACP) em sintomas como o zumbido assemelha-se ao modelo aplicado nos quadros álgicos, já que ambos estão relacionados como experiência sensorial e emocional subjetiva e desagradável. OBJETIVO: Estudar a eficácia da acupuntura no alívio sintomático de forma aguda no zumbido. FORMA DE ESTUDO: Clínico prospectivo. MATERIAL E MÉTODO: Foi realizado um estudo prospectivo, randomizado e duplo-cego em 76 pacientes atendidos no Ambulatório de Zumbido do Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço da UNIFESP-EPM no período compreendido entre abril e junho de 2005. Todos os pacientes tinham queixa de zumbido e foram submetidos a anamnese clínica, exame físico e exames subsidiários a fim de se investigar sua etiologia. Os pacientes eram então encaminhados a um primeiro pesquisador que determinou um valor numérico subjetivo inicial do zumbido através de Escala Visual Analógica (EVA), variando de 0 a 10 pontos. Após isto, foram encaminhados para outra sala na qual um médico acupunturista, que não tinha acesso à avaliação inicial, separou os pacientes em Grupo Controle e Grupo Estudo de acordo com a ordem de atendimento, de maneira alternada. O ponto de ACP utilizado nos pacientes do Grupo Estudo situa-se a 6,5cm acima do ápice do pavilhão auditivo na região têmporo-parietal. O ponto utilizado no Grupo Controle situa-se 3cm acima do ponto anterior, na mesma linha vertical. Foram então encaminhados à sala inicial para uma nova avaliação pelo primeiro pesquisador, onde foram orientados a redefinir o escore subjetivo do zumbido. RESULTADOS: Dos 76 pacientes estudados, 29 eram do sexo masculino (38,2%) e 47 do sexo feminino (61,8%), com idade média 56,9 + 12,0 anos. Os Grupos Estudo e Controle contaram com 38 pacientes cada. Através do teste Anova foi constatado que houve diferença significante (p<0,001) entre os momentos pré e pós-agulhamento e que no grupo Estudo essa melhora é bem maior (p = 0,0127). O teste t-independente mostrou que houve uma diferença significante (p=0,017) entre os escores pré e pós-agulhamento nos grupos Estudo e Controle. CONCLUSÃO: Concluímos que houve redução significante da contagem dos momentos pré e pós-agulhamento em ambos os grupos (controle e estudo), sendo que no grupo estudo a redução é maior que no grupo controle.UNIFESP-EPMUNIFESP-EPM Depto. de ORL e CCPUNIFESP-EPM Liga Acadêmica de OtorrinolaringologiaUNIFESP, EPM, Depto. de ORL e CCPUNIFESP, EPM Liga Acadêmica de OtorrinolaringologiaSciELOABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-FacialUniversidade Federal de São Paulo (UNIFESP)Okada, Daniel Mochida [UNIFESP]Onishi, Ektor Tsuneo [UNIFESP]Chami, Fernando Ioriatti [UNIFESP]Borin, Andrei [UNIFESP]Cassola, Nicolle [UNIFESP]Guerreiro, Viviane Maria [UNIFESP]2015-06-14T13:32:04Z2015-06-14T13:32:04Z2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion182-186application/pdfhttp://dx.doi.org/10.1590/S0034-72992006000200006Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 72, n. 2, p. 182-186, 2006.10.1590/S0034-72992006000200006S0034-72992006000200006.pdf0034-7299S0034-72992006000200006http://repositorio.unifesp.br/handle/11600/3023ark:/48912/001300001bp85porRevista Brasileira de Otorrinolaringologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-04T15:16:37Zoai:repositorio.unifesp.br/:11600/3023Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T21:08:06.971151Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv O uso da acupuntura para alívio imediato do zumbido
Acupuncture for tinnitus immediate relief
title O uso da acupuntura para alívio imediato do zumbido
spellingShingle O uso da acupuntura para alívio imediato do zumbido
O uso da acupuntura para alívio imediato do zumbido
Okada, Daniel Mochida [UNIFESP]
Tinnitus
Acupuncture
Treatment
zumbido
acupuntura
tratamento
Okada, Daniel Mochida [UNIFESP]
Tinnitus
Acupuncture
Treatment
zumbido
acupuntura
tratamento
title_short O uso da acupuntura para alívio imediato do zumbido
title_full O uso da acupuntura para alívio imediato do zumbido
title_fullStr O uso da acupuntura para alívio imediato do zumbido
O uso da acupuntura para alívio imediato do zumbido
title_full_unstemmed O uso da acupuntura para alívio imediato do zumbido
O uso da acupuntura para alívio imediato do zumbido
title_sort O uso da acupuntura para alívio imediato do zumbido
author Okada, Daniel Mochida [UNIFESP]
author_facet Okada, Daniel Mochida [UNIFESP]
Okada, Daniel Mochida [UNIFESP]
Onishi, Ektor Tsuneo [UNIFESP]
Chami, Fernando Ioriatti [UNIFESP]
Borin, Andrei [UNIFESP]
Cassola, Nicolle [UNIFESP]
Guerreiro, Viviane Maria [UNIFESP]
Onishi, Ektor Tsuneo [UNIFESP]
Chami, Fernando Ioriatti [UNIFESP]
Borin, Andrei [UNIFESP]
Cassola, Nicolle [UNIFESP]
Guerreiro, Viviane Maria [UNIFESP]
author_role author
author2 Onishi, Ektor Tsuneo [UNIFESP]
Chami, Fernando Ioriatti [UNIFESP]
Borin, Andrei [UNIFESP]
Cassola, Nicolle [UNIFESP]
Guerreiro, Viviane Maria [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Okada, Daniel Mochida [UNIFESP]
Onishi, Ektor Tsuneo [UNIFESP]
Chami, Fernando Ioriatti [UNIFESP]
Borin, Andrei [UNIFESP]
Cassola, Nicolle [UNIFESP]
Guerreiro, Viviane Maria [UNIFESP]
dc.subject.por.fl_str_mv Tinnitus
Acupuncture
Treatment
zumbido
acupuntura
tratamento
topic Tinnitus
Acupuncture
Treatment
zumbido
acupuntura
tratamento
description The treatment of tinnitus, wich is defined as conscientious perception of a sound originated in the ears or nervous system, represents until the current days a great challenge. The use of Acupuncture (ACP) is based on the stimulation with needles of specific points on the human anatomy. A prospective, randomizaded and double-blinded study was carried through in 76 patients taken care of in the Clinic of Tinnitus of the Department of Otorhinolaringology and Head and Neck Surgery of the UNIFESP-EPM in the period understood between April and June of 2005. All the patients had humming complaint and had been submitted to clinical anamnese, physical examination and subsidiary exams in order to investigate its etiology. The patients then were directed to a first researcher that determined an initial numeric value of the humming through Visual Analoge Scale(VAS), varying from 0 to 10 points. After this, had been directed for another room in which an acupuncturist doctor, who did not have access to the initial evaluation, separated the patients in Group Control and Group Study according to the attendance order, in alternating way. The ACP point used in patients of the Group Study places 6,5 cm above of the apex of the auditory pavilion in the parietal region. The point used in the Group Control places 3 cm above of the previous point, in the same vertical line. Then they had been sent back to the initial room for a new evaluation by the first researcher, where they had been guided to redefine the subjective score of the humming. Among the 76 studied patients, 29 were male (38,2%) and 47 female (61,8%), with average age 56,9 + 12,0 years. The Groups Study and Control had counted on 38 patients each. Through the Anova test it was evidenced that it had significant difference (p<0,001) between the moments pre and post needling and that in the group Study this improvement is more evident (p=0,0127). The t-independent test showed that it had a significant difference (p=0,017) between the two moments in the groups Study and Control. We conclude that there was significant reduction of the counting of the moments pre and post needling in both the groups, and in the group study the reduction is greater that in the group control.
publishDate 2006
dc.date.none.fl_str_mv 2006-04-01
2015-06-14T13:32:04Z
2015-06-14T13:32:04Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0034-72992006000200006
Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 72, n. 2, p. 182-186, 2006.
10.1590/S0034-72992006000200006
S0034-72992006000200006.pdf
0034-7299
S0034-72992006000200006
http://repositorio.unifesp.br/handle/11600/3023
dc.identifier.dark.fl_str_mv ark:/48912/001300001bp85
url http://dx.doi.org/10.1590/S0034-72992006000200006
http://repositorio.unifesp.br/handle/11600/3023
identifier_str_mv Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 72, n. 2, p. 182-186, 2006.
10.1590/S0034-72992006000200006
S0034-72992006000200006.pdf
0034-7299
S0034-72992006000200006
ark:/48912/001300001bp85
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista Brasileira de Otorrinolaringologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 182-186
application/pdf
dc.publisher.none.fl_str_mv ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
publisher.none.fl_str_mv ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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dc.identifier.doi.none.fl_str_mv 10.1590/S0034-72992006000200006