電針對剖腹生產術後疼痛之影響

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 中醫學院 > 中西醫結合研究所 > 研究計畫 > Item 310903500/25012

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題名:	電針對剖腹生產術後疼痛之影響 Effect of Electroacupuncture on Postoperative Pain on Cesarean Section
作者:	林昭庚 Lin, Jaung-Geng 張永賢 Chang, Yung-Hsien 謝慶良 Hsieh, Ching-Liang 洪至仁 Hung, Chih-Jen 蔡鴻德 Tsai, Horng-Der 吳宏乾 Wu, Hung-Chien
貢獻者:	中國醫藥學中西醫結合研究所
關鍵詞:	電針;剖腹生產;手術後疼痛;Electroacupuncture;Cesarean section delivery;Postoperative pain
日期:	2000
上傳時間:	2010-06-24 11:19:17 (UTC+8)
摘要:	本研究以接受剖腹生產(Cesarean section; CS)之產婦為對象。於開刀後分別施以針刺或電針雙側三陰交穴(SP-6)，同時配合於開刀後使用病患自控式止痛器(PCA; Patient controlled analgesia)，以探討針刺或電針對術後疼痛的鎮痛效果。本研究收集中國醫藥學院附設醫院婦產科中接受半身麻醉進行剖腹生產的90位孕婦，於開刀後依隨機取樣分為對照組，針刺組，電針組三組，每組各30位。於手術後記錄病患第一次要求成癮性止痛藥(Morphine)的時間和二十四小時內PCA按鈕次數(PCA demands)和嗎啡使用劑量(PCA dose)，並觀察記錄病患生命徵象(Vital signs)，鴉片類藥物副作用(Opioid-related side effect)和疼痛分數(Pain score)。本研究結果顯示，針刺組與電針組於術後第一次要求止痛藥的時間間隔平均值分別比對照組延長了11.0分鐘、10.4分鐘，且在統計學上具有顯著的差異。在術後二十四小時內使用嗎啡總劑量上，針刺組與電針組分別比對照組減少33.6%、41.6%，且在統計學上具有顯著的差異。但針刺組與電針組兩組間並無顯著差異。三個組別在疼痛分數的比較上，於2小時內，電針組疼痛分數較針刺組與對照組低，且在統計學上有顯著的差異，兩小時後三組間則無顯著差異。最後統計鴉片類藥物副作用的發生率，得知針刺組和電針組噁心、眩暈的發生率較低。由本研究結果發現：針刺和電針的確能延後剖腹生產術後第一次要求止痛藥的時間，同時能減少二十四小時內要求止痛藥的總劑量。 The present study, which includes post-C-section women as subjects, examines the effects of needle acupunture (spleen 6) and electroacupuncture (spleen 6) in conjunction with PCA on post-C-section pain. The study, which took place at China Medical College Hospital, department of obstetrics, includes ninety women who have had spinal anesthesia during C-section. The subjects were randomized into three groups-control group, plain needle acupuncture group, and electro-acupuncture group. Each group consisted of thirty patients. Post-operatively, the timing of the first request for morphine, the frequency of PCA demands, and the PCA doses were recorded. In addition, vital signs, opiate-related side effects, and pain scores were monitored. The study results show that when compared with the control group, the plain acupuncture group and the electro-acupuncture group first asked for pain medication 11.0 minutes and 10.4 minutes later than the control group. The difference was statistically significant. The total dose of PCA used within the first 24 hours was 33.6% less in the plain acupuncture group and 41.6% less in the electro-acupuncture group when compared with control's. This was also statistically significant. However, the difference between the plain group and the electro-acupuncture group was not statistically significant. When comparing pain scores, those of the electro-acupuncture group were lower than those of the control group and the plain needle group within 2 hours. These were statistically significant. However, two hours later, all three groups had similar pain scores. Finally, opiate-related side effects were lowest in the plain needle group and electro-acupuncture group. In conclusion, the present study shows that both plain needle and electro-acupuncture postpone the initial demand for pain control and decrease total PCA dose within the first 24 hours.
顯示於類別:	[中西醫結合研究所] 研究計畫

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