Kvorning Nina, Holmberg Catharina, Grennert Lars, Aberg Anders, Akeson Jonas
Department of Anesthesia and Intensive Care, Hospital of Helsingborg, Sweden.
Acta Obstet Gynecol Scand. 2004 Mar;83(3):246-50. doi: 10.1111/j.0001-6349.2004.0215.x.
The study was designed to evaluate the analgesic effect and possible adverse effects of acupuncture for pelvic and low-back pain during the last trimester of pregnancy.
Following individual informed consent, 72 pregnant women reporting pelvic or low-back pain were randomized during pregnancy weeks 24-37 to an acupuncture group (n = 37) or to a control group (n = 35) at three maternity wards in southern Sweden. Traditional acupuncture points and local tender points (TP) were chosen according to individual pain patterns and stimulated once or twice a week until delivery or complete recovery in acupuncture patients. Control patients were given no sham stimulation. Throughout the study period each patient made weekly visual analog scale (VAS) evaluations of maximal and minimal pain intensity as well as three-point assessments of pain intensity during various activities.
During the study period, VAS scorings of pain intensity decreased over time in 60% of patients in the acupuncture group and in 14% of those in the control group (p < 0.01). At the end of the study period, 43% of the acupuncture patients were less bothered than initially by pain during activity compared with 9% of control patients (p < 0.01). No serious adverse effects of acupuncture were found in the patients, and there were no adverse effects at all in the infants.
Acupuncture relieves low-back and pelvic pain without serious adverse effects in late pregnancy.
本研究旨在评估针刺疗法对妊娠晚期骨盆及下背部疼痛的镇痛效果及可能的不良反应。
在获得个体知情同意后,瑞典南部三个产科病房中,72名报告有骨盆或下背部疼痛的孕妇在妊娠24 - 37周期间被随机分为针刺组(n = 37)和对照组(n = 35)。根据个体疼痛模式选择传统穴位和局部压痛点(TP),针刺组患者每周接受一次或两次刺激,直至分娩或完全康复。对照组患者未接受假刺激。在整个研究期间,每位患者每周使用视觉模拟量表(VAS)评估最大和最小疼痛强度,以及在各种活动期间的三点疼痛强度评估。
在研究期间,针刺组60%的患者疼痛强度的VAS评分随时间下降,而对照组为14%(p < 0.01)。在研究期末,与9%的对照组患者相比,43%的针刺组患者在活动时疼痛困扰程度低于初始水平(p < 0.01)。未发现患者有严重针刺不良反应,婴儿也未出现任何不良反应。
针刺疗法可缓解妊娠晚期下背部和骨盆疼痛,且无严重不良反应。