腕踝针用于会阴侧切术后缓解会阴部疼痛：一项初步研究。
Wrist-ankle acupuncture as perineal pain relief after mediolateral episiotomy: a pilot study.
机构信息
Department of Obstetrics and Gynaecology, San Gerardo Hospital, Monza, Italy.
出版信息
J Altern Complement Med. 2011 Mar;17(3):239-41. doi: 10.1089/acm.2010.0256. Epub 2011 Mar 7.
OBJECTIVES
The purpose of this pilot study was to evaluate the efficacy of acupuncture in relieving perineal pain after mediolateral episiotomy during childbirth.
DESIGN AND SUBJECTS
Women with mediolateral episiotomy during delivery were enrolled in this study and were assigned to be treated or not with acupuncture.
OUTCOMES MEASURES
Perineal pain relieving effect of acupuncture was evaluated considering oral analgesics request during post-partum period and was the main outcome of this trial.
RESULTS
A total of 42 women were enrolled in this trial. Twenty-one (21) women were treated with "wrist-ankle" acupuncture, inserting one needle in their right ankle. A second group of 21 women was not treated with acupuncture. Women in the acupuncture group were significantly less likely to experience pain; only 8 of them (38.1%) asked for analgesics. All women in the second group assumed oral analgesics because of perineal pain (p < 0.01).
CONCLUSIONS
Wrist-ankle acupuncture during the postpartum period is effective for perineal pain relief after mediolateral episiotomy.
目的
本初步研究旨在评估针灸在缓解分娩时会阴侧切后会阴疼痛的疗效。
设计和受试者
本研究纳入分娩时行会阴侧切的女性，并分为接受或不接受针灸治疗的两组。
结局指标
评估针灸对会阴疼痛的缓解效果，考虑产后期间口服止痛药的需求，这是本试验的主要结局。
结果
本试验共纳入 42 名女性。21 名女性接受“腕踝”针灸治疗，在其右踝关节处插入一针。第二组 21 名女性未接受针灸治疗。接受针灸治疗的女性疼痛明显减轻；仅 8 名女性（38.1%）要求使用止痛药。由于会阴疼痛，第二组所有女性均使用口服止痛药（p < 0.01）。
结论
产后期间的腕踝针灸对缓解会阴侧切后的会阴疼痛有效。
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