Acupoint Injection Decreases Anesthetic Cosumption during Combined Spinal-Epidural and Patient-Controlled Epidural Labor Analgesia  

作　　者：HUANG Min-li FANG Chang-ping ZHAO Hai-yan ZHANG Zi-jing WU Shu-zhen YI Wei LI Shang-rong WU Ling-ling 

机构地区：[1]Department of Obstetrics and Gyn ecology,The Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou(510630),China [2]Medical College of Acupuncture-Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou(510006),China [3]Department of Anesthesiology,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou(510630),China

出　　处：《Chinese Journal of Integrative Medicine》2022年第3期257-262,共6页中国结合医学杂志（英文版）

基　　金：Supported by the Guangdong Science and Technology Department of China(No.2016A020226051)。

摘　　要：Objective:To explore if acupoint injection can improve analgesic effects or delivery outcomes in parturients who received combined spinal-epidural analgesia(CSEA)and patient-controlled epidural analgesia(PCEA)for labor analgesia.Methods:A total of 307 participants were prospectively collected from July 2017 to December 2019.The participants were randomized into the combined acupoint injection with CSEA plus PCEA group(AICP group,n=168)and CSEA plus PCEA group(CP group,n=139)for labor analgesia using a random number table.Both groups received CSEA plus PCEA at cervical dilation 3 cm during labor process,and parturients of the AICP group were implemented acupoint injection for which bilateral acupoint of Zusanli(ST 36)and Sanyinjiao(SP 6)were selected in addition.The primary outcome was Visual Analogue Scale(VAS)score,and the secondary outcomes were obstetric outcomes and requirement of anesthetics doses.Safety evaluations were performed after intervention.Results:The VAS scores were significantly lower in the AICP group than in the CP group at 10,30,60,and 120 min after labor analgesia(all P<0.05).The latent phase of the AICP group was shorter than that of the CP group(P<0.05).There were less additional anesthetics consumption,lower incidences of uterine atony,fever,pruritus and urinary retention in the AICP group than those in the CP group(all P<0.05).Conclusion:Acupoint injection combined CSEA plus PCEA for labor analgesia can decrease the anesthetic consumption,improve analgesic quality,and reduce adverse reactions in the parturients.(Registration No.ChiMCTR-2000003120)

关 键 词：acupoint injection combined spinal-epidural analgesia labor analgesia anesthetic consumption multimodal analgesia 

分 类 号：R714.3[医药卫生—妇产科学]