Effects of acupuncture on post-cesarean section pain  

作　　者：WU Hung-chien LIU Yu-chi OU Keng-liang CHANG Yung-hsien HSIEH Ching-liang TSAI Angela Hsin-chieh TSAI Hong-te CHIU Tsan-hung HUNG Chih-jen LEE Chien-chung LIN Jaung-geng 

机构地区：[1]College of Dental Medicine, Kaohsiung Medical University, Taiwan, China [2]School of Post Baccalaureate Chinese Medicine, China Medical University, Taiwan, China [3]Research Center for Biomedical Implants and Microsurgery Devices, College of Oral Medicine, Taipei Medical University, Taiwan, China [4]China Medical University Hospital, China Medical University, Taiwan, China [5]Meridian Medical Centre, Australia [6]Department of Obstetrics and Gynecology, Changhua Christian Hospital, Taiwan, China [7]Department of Obstetrics and Gynecology, China Medical University Hospital, Taiwan, China [8]Department of Anesthesiology, Taichung Veterans General Hospital, Taiwan, China [9]Mei-Tsung Obstetrics and Gynecology Clinic, Taiwan, China [10]Graduate Institute of Acupuncture Science, China Medical University, Taiwan, China

出　　处：《Chinese Medical Journal》2009年第15期1743-1748,共6页中华医学杂志（英文版）

摘　　要：Background Post-operation pain is a very subjective phenomenon. The aim of this study was to find out the effects of acupuncture or electro-acupuncture on post-cesarean pain. Methods Sixty women, who had had spinal anesthesia during cesarean section at the Department of Obstetrics of China Medical University Hospital, were randomly assigned to the control group, the acupuncture group, and the electro-acupuncture group. After the operation, we applied subjects with acupuncture or electro-acupuncture on the bilateral acupuncture point, San Yin Jiao （Sp6）, and the patient controlled analgesia （PCA）. The first time of requesting morphine, the frequency of PCA demands in 24 hours, and the doses of PCA used were recorded double blindly. In addition, monitoring the subjects＇ vital signs, the opioid-related side effects, and the pain scores was done. Results The results showed that the acupuncture group and the electro-acupuncture group could delay the time of requesting morphine up to 10-11 minutes when compared with the control group. The total dose of PCA used within the first 24 hours was 30%-35% less in the acupuncture group and the electro-acupuncture group when compared with the control group, which was indicated in statistical significance. However, there was no significant difference between the acupuncture group and the electro-acupuncture group. The electro-acupuncture group＇s and the acupuncture group＇s pain scores were lower than the control group＇s within the first 2 hours. Both were statistically significant. However, two hours later, there were no significant differences of the visual analogue scale （VAS） scores between either of the treatment groups and the control group. Finally, the incidence of opioid-related side effects, such as dizziness, was less in the acupuncture group and electro-acupuncture group than in the control group. Conclusions This study shows that the application of acupuncture and electro-acupuncture could definitely delay the time of requesting pain relief medicaBackground Post-operation pain is a very subjective phenomenon. The aim of this study was to find out the effects of acupuncture or electro-acupuncture on post-cesarean pain. Methods Sixty women, who had had spinal anesthesia during cesarean section at the Department of Obstetrics of China Medical University Hospital, were randomly assigned to the control group, the acupuncture group, and the electro-acupuncture group. After the operation, we applied subjects with acupuncture or electro-acupuncture on the bilateral acupuncture point, San Yin Jiao （Sp6）, and the patient controlled analgesia （PCA）. The first time of requesting morphine, the frequency of PCA demands in 24 hours, and the doses of PCA used were recorded double blindly. In addition, monitoring the subjects＇ vital signs, the opioid-related side effects, and the pain scores was done. Results The results showed that the acupuncture group and the electro-acupuncture group could delay the time of requesting morphine up to 10-11 minutes when compared with the control group. The total dose of PCA used within the first 24 hours was 30%-35% less in the acupuncture group and the electro-acupuncture group when compared with the control group, which was indicated in statistical significance. However, there was no significant difference between the acupuncture group and the electro-acupuncture group. The electro-acupuncture group＇s and the acupuncture group＇s pain scores were lower than the control group＇s within the first 2 hours. Both were statistically significant. However, two hours later, there were no significant differences of the visual analogue scale （VAS） scores between either of the treatment groups and the control group. Finally, the incidence of opioid-related side effects, such as dizziness, was less in the acupuncture group and electro-acupuncture group than in the control group. Conclusions This study shows that the application of acupuncture and electro-acupuncture could definitely delay the time of requesting pain relief medica

关 键 词：cesarean-section childbirth  acupuncture ELECTRO-ACUPUNCTURE PAIN 

分 类 号：R686[医药卫生—骨科学]