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.