经皮穴位电刺激治疗产后宫缩痛的临床观察  

Clinical observation of transcutaneous electrical acupoint stimulation for postpartum uterine contraction pain

作　　者：贾翔 杨梦瑶 郑斌 丛文杰[4] JIA Xiang;YANG Mengyao;ZHENG Bin;CONG Wenjie(Taizhou Central Hospital,Taizhou 318000,China;Taizhou Hospital of Zhejiang Province,Taizhou 325000,China;The Second Affiliated College of Zhejiang Chinese Medical University,Hangzhou 310053,China;The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]台州市中心医院,台州318000 [2]浙江省台州医院,台州325000 [3]浙江中医药大学第二临床医学院,杭州310053 [4]温州医科大学附属第一医院,温州325000

出　　处：《上海针灸杂志》2023年第1期24-29,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：温州市科技计划项目(2019Y0269)。

摘　　要：目的观察经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)治疗产后宫缩痛的临床疗效。方法将54例产妇随机分为治疗组(26例)和对照组(28例)。治疗组在产后常规治疗基础上采用TEAS进行治疗,对照组采用产后常规治疗。比较两组治疗前、治疗后24 h和治疗后48 h疼痛数字评价量表(numerical rating scale,NRS)评分、疼痛持续时间和疼痛发作次数,治疗后24 h和治疗后48 h疼痛缓解率、产后宫缩痛总持续时间和镇痛满意度。结果两组治疗后24 h和治疗后48 h NRS评分、疼痛发作次数低于治疗前,疼痛持续时间短于治疗前,差异有统计学意义(P<0.05);两组治疗后24hNRS评分、疼痛持续时间、疼痛发作次数比较差异无统计学意义(P>0.05),治疗后48h上述指标比较差异有统计学意义(P<0.05)。治疗后24 h,两组产妇的疼痛缓解率比较,差异无统计学意义(P>0.05);治疗后48 h,治疗组疼痛缓解率显著优于对照组,差异具有统计学意义(P<0.05)。治疗组产后宫缩痛总持续时间较对照组明显缩短,镇痛满意度高于对照组,差异有统计学意义(P<0.05)。结论在常规治疗基础上,TEAS可以显著缓解产后宫缩痛疼痛程度,缩短疼痛持续时间,减少疼痛发作次数,提高产妇镇痛满意度。Objective To observe the clinical efficacy of transcutaneous electrical acupoint stimulation(TEAS)in treating postpartum uterine contraction pain.Method Fifty-four puerperal women were randomized into a treatment group(26 cases)and a control group(28 cases).The treatment group received TEAS in addition to conventional postpartum intervention,and the control group only received the conventional postpartum intervention.The numerical rating scale(NRS)score,pain duration,and pain attack times were compared before the treatment and 24 h and 48 h after the treatment.The pain relief rate 24 h and 48 h after the treatment,total duration of postpartum uterine contraction pain,and analgesia satisfaction degree were compared.Result Compared with the baseline,the NRS score and pain attack times were lower,and the pain duration was shorter 24 h and 48 h after the treatment in both groups,and the changes were statistically significant(P<0.05);there were no notable differences in comparing the NRS score,pain duration,or pain attack times between the two groups 24 h after the treatment(P>0.05),but the between-group differences in these parameters were statistically significant 48 h after the treatment(P<0.05).There was no significant difference in comparing the pain relief rate between the two groups 24 h after the treatment(P>0.05);48 h after the treatment,the treatment group showed an advantage in the pain relief rate compared with the control group,and the difference was statistically significant(P<0.05).The total postpartum uterine contraction pain duration was shorter,and the analgesia satisfaction degree was higher in the treatment group than in the control group,showing statistically significant(P<0.05).Conclusion Based on conventional intervention,TEAS can notably reduce postpartum uterine contraction pain intensity,shorten pain duration,lessen pain attack times,and enhance the puerperal women’s pain relief satisfaction degree.

关 键 词：穴位疗法 电刺激疗法 产后 宫缩 疼痛 子宫复旧 

分 类 号：R246.3[医药卫生—针灸推拿学]