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术后疼痛:针灸与经皮电刺激神经疗法的比较

Postoperative pain: acupuncture versus percutaneous electrical nerve stimulation.

作者信息

Gavronsky Stas, Koeniger-Donohue Rebecca, Steller Julie, Hawkins Joellen W

机构信息

School for Health Sciences, Simmons College, Boston, Massachusetts 02115, USA.

出版信息

Pain Manag Nurs. 2012 Sep;13(3):150-6. doi: 10.1016/j.pmn.2009.08.001. Epub 2010 Jan 6.

Abstract

The purpose of this study was to examine the effect of traditional acupuncture compared with acupuncture with percutaneous electrical nerve stimulation (PENS) on postoperative surgical pain relief in gynecologic oncology patients. Twenty postoperative gynecologic oncology patients were randomly assigned into the two groups, and the intervention was initiated within 24 hours after surgery. The patients in each group received four treatments in the subsequent 48 hours, with 12 hours between each treatment. Either traditional acupuncture needles or acupuncture needles with a pulsed electric current were applied to stimulate the area of points Sp6 and Sp8 near the saphenous nerve. Pain measurement instruments included a visual analog scale and the McGill Pain Questionnaire. Although the PENS treatment group demonstrated a consistent decrease in pain with each treatment application compared with the traditional acupuncture group, after 48 hours both groups experienced equivalent pain relief.

摘要

本研究的目的是探讨传统针刺与经皮电刺激神经针刺(PENS)相比,对妇科肿瘤患者术后手术疼痛缓解的影响。20例妇科肿瘤术后患者被随机分为两组,并在术后24小时内开始干预。每组患者在随后的48小时内接受4次治疗,每次治疗间隔12小时。使用传统针灸针或带有脉冲电流的针灸针刺激隐神经附近的三阴交穴(Sp6)和阴陵泉穴(Sp8)区域。疼痛测量工具包括视觉模拟量表和麦吉尔疼痛问卷。尽管与传统针刺组相比,PENS治疗组每次治疗后疼痛均持续减轻,但48小时后两组的疼痛缓解程度相当。

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