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Am J Emerg Med. 2015 Jun;33(6):749-53. doi: 10.1016/j.ajem.2015.02.033. Epub 2015 Feb 25.

Comparison of the efficacy of diclofenac, acupuncture, and acetaminophen in the treatment of renal colic.

Author information

1
Department of Urology, Selcuk University, Faculty of Medicine, Konya, Turkey. Electronic address: mekaynar@gmail.com.
2
Department of Emergency Medicine, Beyhekim State Hospital, Konya, Turkey.
3
Department of Urology, Mevlana University, Faculty of Medicine, Konya, Turkey.
4
Department of Urology, Konya Education and Research Hospital, Konya, Turkey.
5
Department of Urology, Bezmialem Vakıf University, Faculty of Medicine, Istanbul,Turkey.
6
Department of Urology, Selcuk University, Faculty of Medicine, Konya, Turkey.

Abstract

OBJECTIVE:

The objective is to compare the analgesic effects of diclofenac, acetaminophen, and acupuncture in urolithiasis-driven renal colic pain relief.

METHODS:

Renal colic patients were divided randomly into 3 groups. Patients in group I (n = 40) were treated with intravenous acetaminophen, those in group II (n = 41) with acupuncture, and those in group III (n = 40) with a 75-mg intramuscular injection diclofenac sodium. Visual analogue scale (VAS) and verbal rating scale (VRS) were used to assess pain intensity after 10, 30, 60, and 120 minutes.

RESULTS:

No significant differences in baseline VAS or VRS were found with regard to age or sex. After 10 minutes, all 3 groups experienced a significant decrease in VAS and VRS scores, with the most drastic decrease occurring in group II. After 30 minutes, there was a significantly higher decrease in group III than in group I (P = .001). After 60 minutes, mean VAS scores of groups I and III (P = .753) were similar. The mean VAS score of group III was lower than that of group II (P = .013). After 120 minutes, the difference in the VAS scores was (P = .000) between groups I and II and between groups II and III. Yet, the VAS evaluation made after 120 minutes revealed statistically similar outcomes for groups I and III (P = .488). The statistical findings for VRS evaluations made after 10, 30, 60, and 120 were similar to those for VAS.

CONCLUSIONS:

In renal colic patients with a possible nonsteroidal anti-inflammatory drug and acetaminophen side effect risk, acupuncture emerges as an alternative treatment modality.

PMID:
25827597
DOI:
10.1016/j.ajem.2015.02.033
[Indexed for MEDLINE]

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