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[电针对曲马多用于取卵术中辅助镇痛及不良反应改善的影响]

[Effects of electroacupuncture on supplementary analgesia and improvement of adverse reactions induced by dolantin in oocyte retrieval].

作者信息

Chen Qian-Qiong, Wei Qing-Lin, Zhang Xue-Hong

机构信息

Department of Rehabilitation and Physiotherapy, The 25th Hospital of PLA, Jiuquan 735000, Gansu Province, China.

出版信息

Zhongguo Zhen Jiu. 2012 Dec;32(12):1113-6.

Abstract

OBJECTIVE

To observe the effect of electroacupuncture on supplementary analgesia and improvement of adverse reactions induced by dolantin in oocyte retrieval, and to provide scientific and effective evidence for application of electroacupuncture in oocyte retrieval.

METHODS

One hundred and thirty-four patients undergoing in vitro fertilization and embryo transfer (IVF-ET) were randomly divied into an observation group and a a control group, 67 cases in each group. They were all received intramuscular injection of 50 mg dolantin at 30 mn before the operation, and then the observation group was treated with acupuncture at Baihui (GV 20), pain point (Extra, right), Sanyangluo (TE 8, right), Zusanli (ST 36, right) and ear uterus point (right ear). Pain point and Sanyangluo (TE 8) were received electroacupuncture stimulation after Deqi until the oocyte retrieval operation was finished, and the oocyte retrieval operation was performed in the control group after 30 min of injection of dolantin. The pain grade and score were observed and the adverse reactions during operation or 1 h and 2 h after the operation were recorded.

RESULTS

The excellent analgesia rate was 97.0% (65/ 67) in the observation group and 92.5% (62/67) in the control group, with significant difference in the analgesia effect (P < 0.05). The pain grade and pain score in the observation group were both superior to those in the control group (both P < 0.05). There were fewer cases with the adverse reactions i.e. vertigo, sweating, nausea in the observation group than that in the control group during operation or 1 h and 2 h after the operation (all P < 0.05).

CONCLUSION

In the oocyte retrieval operation, under the guidance of vaginal B ultrasound, electroacupuncture has a good intraoperative supplementary analgesia effect without intraoperative and postoperative adverse reactions induced by dolantin.

摘要

目的

观察电针在取卵术中辅助镇痛及改善杜冷丁所致不良反应的效果,为电针在取卵术中的应用提供科学有效的依据。

方法

将134例行体外受精-胚胎移植(IVF-ET)的患者随机分为观察组和对照组,每组67例。两组均于术前30分钟肌肉注射50mg杜冷丁,然后观察组针刺百会(GV 20)、痛点(奇穴,右侧)、三阳络(TE 8,右侧)、足三里(ST 36,右侧)及耳子宫穴(右耳)。得气后对痛点和三阳络(TE 8)行电针刺激至取卵手术结束,对照组于注射杜冷丁30分钟后行取卵手术。观察疼痛分级及评分,并记录术中及术后1小时、2小时的不良反应。

结果

观察组优良镇痛率为97.0%(65/67),对照组为92.5%(62/67),镇痛效果差异有统计学意义(P < 0.05)。观察组疼痛分级及疼痛评分均优于对照组(均P < 0.05)。观察组术中及术后1小时、2小时出现眩晕、出汗、恶心等不良反应的例数少于对照组(均P < 0.05)。

结论

在取卵手术中,在阴道B超引导下,电针具有良好的术中辅助镇痛效果,且无杜冷丁所致的术中及术后不良反应。

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