Arch Gynecol Obstet:耳穴针灸可有效缓解会阴切开术后的痛苦

2020-10-05 MedSci原创 MedSci原创

以往来说,上环术后的疼痛治疗主要依靠非甾体类抗炎药作为镇痛药,由于这些镇痛药可能会转移到孩子身上,因此其在哺乳期的使用仍存在争议。

以往来说,上环术后的疼痛治疗主要依靠非甾体类抗炎药作为镇痛药,由于这些镇痛药可能会转移到孩子身上,因此其在哺乳期的使用仍存在争议。

这是一项随机平行单中心试点研究,旨在评价耳穴针灸对上环术后疼痛缓解的影响。主要结果是在产后前三天视觉模拟量表(VAS)评分显示的疼痛强度的减少。采用人头尾二元结果掷硬币的方法将患者进行分组。研究完成后,纳入60名在阴道分娩过程中进行纵隔外阴切开术的健康女性,其中29名接受针灸治疗,31名不接受针灸止痛治疗。所有患者均可根据要求进行口服镇痛治疗。

 

结果显示,产后第2天和第3天,针灸组对疼痛的主观体验明显降低(P=0.004,P=0.005,P=0.22)。没有发现针灸的不良反应。

 

综上所述,该研究结果证实,在阴道分娩过程中,耳穴针灸治疗可能是一种有价值的辅助镇痛治疗手段。该研究结果提示了一个问题:目前的 "最佳实践 "是否还可以改进。

 

原始出处:

 

Katarina Kličan JaićTihana Magdić Turković, et al., Auricular acupuncture as effective pain relief after episiotomy: a randomized controlled pilot study. Arch Gynecol Obstet. 2019 Nov;300(5):1295-1301. doi: 10.1007/s00404-019-05283-w. 

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    2021-04-30 zhouqu_8
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    2020-12-06 lifefamily

    #针灸#,这是针麻哦!不过针麻整体来说,个体异质性太强,最多只能起辅助作用

    0

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