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针刺联合镇痛泵治疗剖宫产术后疼痛的临床研究

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目的 观察针刺联合镇痛泵治疗剖宫产术后疼痛的临床疗效.方法 将76 例剖宫产术后患者随机分为针药组和药物组,每组38例.药物组用镇痛泵治疗,针药组在药物组治疗基础上采用针刺治疗.分别于术后2 h、8 h、24 h进行针刺.比较两组术后 2 h、8 h、24 h和 48 h手术切口静息痛、手术切口翻身痛、宫缩痛的疼痛视觉模拟评分(visual analog scale,VAS)、累计镇痛泵药物使用量,并比较两组术后不良反应发生率.结果 两组术后2 h手术切口静息痛、翻身痛和宫缩痛评分及累计镇痛泵药物使用量比较差异无统计学意义(P>0.05).针药组术后8 h、24 h和 48 h手术切口静息痛、翻身痛及宫缩痛评分均低于药物组(P<0.05),针药组累计镇痛泵药物使用量少于药物组(P<0.05).针药组不良反应发生率低于药物组(P<0.05).结论 针刺联合镇痛泵可有效减轻剖宫产术后疼痛,减少镇痛药物用量,减少术后不良反应的发生,从而促进产后康复.
Clinical study of acupuncture plus patient-controlled analgesia for pain after cesarean section
Objective To observe the clinical efficacy of acupuncture plus patient-controlled analgesia for pain after cesarean section.Method Seventy-six patients who had undergone cesarean section were randomized into an acupuncture-medication group and a medication group,each consisting of 38 cases.The medication group was treated with patient-controlled analgesia,and the acupuncture-medication group received patient-controlled analgesia integrated with acupuncture treatment performed at 2 h,8 h,and 24 h after the surgery.Surgical incision pain at the resting state and when turning the body and uterine contraction pain were compared at 2 h,8 h,24 h,and 48 h after the surgery using the visual analog scale(VAS).The accumulated analgesic consumption and postoperative adverse reaction rate were also compared.Result There were no significant differences between the two groups in comparing the incision pain at the resting state,the pain when turning the body,uterine contraction pain,and accumulated analgesic consumption at 2 h after the surgery(P>0.05).The scores of incision pain at the resting state,the pain when turning the body,and uterine contraction pain were lower in the acupuncture-medication group than in the medication group at 8 h,24 h,and 48 h after the surgery(P<0.05),and the accumulated analgesic consumption was smaller in the acupuncture-medication group compared to the medication group(P<0.05).The adverse reaction rate was lower in the acupuncture-medication group than in the medication group(P<0.05).Conclusion Acupuncture plus patient-controlled analgesia can effectively reduce pain after cesarean section,lower analgesic consumption,and reduce postoperative adverse reactions,thus promoting postpartum recovery.

Acupuncture therapyAcupuncture medication combinedCesarean sectionPain,PostoperativeAcupuncture analgesia

李永春、王文琪、刘慧、史乐辰、张晨璐、李青

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山东中医药大学,济南 250014

聊城市人民医院,聊城 252000

枣庄市中医院,枣庄 277000

济南市妇幼保健院,济南 250001

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针刺疗法 针药并用 剖宫产 疼痛,术后 针刺镇痛

2025

上海针灸杂志
福建省水利学会

上海针灸杂志

影响因子:1.273
ISSN:1005-0957
年,卷(期):2025.44(1)