Olapour Alireza, Behaeen Kaveh, Akhondzadeh Reza, Soltani Farhad, Al Sadat Razavi Forough, Bekhradi Reza
Department of Anesthesiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Anesth Pain Med. 2013 Summer;3(1):203-7. doi: 10.5812/aapm.9570. Epub 2013 Jul 1.
Pain is a major problem in patients after cesarean and medication such as aromatherapy which is a complementary therapy, in which the essences of the plants oils are used to reduce such undesirable conditions.
In this study, the effect of aromatherapy using Lavender (Lavandula) essential oil on cesarean postoperative pain was assessed.
In a triple blind, randomized placebo-controlled trial study, 60 pregnant women who were admitted to a general hospital for cesarean section, were divided randomly into two groups. After cesarean, the Lavender group inhaled about 3 drops of 10% Lavender oil essence and the placebo group inhaled 3 drops of placebo after the start of postoperative pain, four, eight and 12 hours later, for 5 minutes from the 10 cm distance. Patient's pain was measured by the VAS (Visual Analog Scale) score before and after each intervention, and vital sign, complications and level of satisfaction of every patient were recorded before and after aromatherapy.
There was no statistically significant difference between groups in age, height, weight, and time to the first analgesic requirement. Patients in the Lavender group had less postoperative pain in four (P = 0.008), eight (P = 0.024) and 12 (P = 0.011) hours after first medication than the placebo group. The decreased heart rate and patients' level of satisfaction with analgesia were significantly higher in the Lavender group (P = 0.001). In the placebo group, the use of diclofenac suppositories for complete analgesia was also significantly higher than the Lavender group (P = 0.008).
The inhaled Lavender essence may be used as a part of the multidisciplinary treatment of pain after cesarean section, but it is not recommended as the sole pain management.
疼痛是剖宫产术后患者面临的主要问题,而芳香疗法等药物作为一种辅助疗法,使用植物油精华来减轻此类不良状况。
本研究评估了使用薰衣草精油进行芳香疗法对剖宫产术后疼痛的影响。
在一项三盲、随机、安慰剂对照试验研究中,60名入住综合医院进行剖宫产的孕妇被随机分为两组。剖宫产术后,薰衣草组在术后疼痛开始后4小时、8小时和12小时,从10厘米距离吸入约3滴10%薰衣草精油精华,安慰剂组吸入3滴安慰剂,每次吸入5分钟。每次干预前后通过视觉模拟评分(VAS)测量患者疼痛,并记录芳香疗法前后每位患者的生命体征、并发症及满意度。
两组在年龄、身高、体重和首次需要镇痛的时间方面无统计学显著差异。薰衣草组患者在首次用药后4小时(P = 0.008)、8小时(P = 0.024)和12小时(P = 0.011)的术后疼痛低于安慰剂组。薰衣草组心率下降和患者对镇痛的满意度显著更高(P = 0.001)。在安慰剂组中,使用双氯芬酸栓剂进行完全镇痛的比例也显著高于薰衣草组(P = 0.008)。
吸入薰衣草精华可作为剖宫产术后疼痛多学科治疗的一部分,但不建议作为唯一的疼痛管理方法。