Kayman-Kose Seda, Arioz Dagistan Tolga, Toktas Hasan, Koken Gulengul, Kanat-Pektas Mine, Kose Mesut, Yilmazer Mehmet
Department of Obstetrics and Gynecology and.
J Matern Fetal Neonatal Med. 2014 Oct;27(15):1572-5. doi: 10.3109/14767058.2013.870549. Epub 2014 Jan 8.
The present study aims to determine the efficiency and reliability of transcutaneous electrical nerve stimulation (TENS) in the management of pain related with uterine contractions after vaginal delivery and the pain related with both abdominal incision uterine contractions after cesarean section.
A hundred healthy women who underwent cesarean section under general anesthesia were randomly assigned to the placebo group (Group 1) or the TENS group (Group 2), while 100 women who delivered by vaginal route without episiotomy were randomized into the placebo group (Group 3) or the TENS group (Group 4).
The patients in Group 2 had statistically lower visual analog scale (VAS) and verbal numerical scale (VNS) scores than the patients in Group 1 (p < 0.001 for both). The patients in Group 4 had statistically lower VAS and VNS scores than the patients in Group 3 (p = 0.022 and p = 0.005, respectively). The analgesic requirement at the eighth hour of cesarean section was significantly lower in the patients who were treated with TENS (p = 0.006). The need for analgesics at the eighth hour of vaginal delivery was statistically similar in the patients who were treated with TENS and the patients who received placebo (p = 0.830).
TENS is an effective, reliable, practical and easily available modality of treatment for postpartum pain.
本研究旨在确定经皮电刺激神经疗法（TENS）在治疗阴道分娩后子宫收缩相关疼痛及剖宫产术后腹部切口与子宫收缩相关疼痛方面的有效性和可靠性。
100例在全身麻醉下接受剖宫产的健康女性被随机分为安慰剂组（第1组）或TENS组（第2组），同时100例未行会阴切开术经阴道分娩的女性被随机分为安慰剂组（第3组）或TENS组（第4组）。
第2组患者的视觉模拟评分（VAS）和言语数字评分（VNS）在统计学上低于第1组患者（两者p均<0.001）。第4组患者的VAS和VNS评分在统计学上低于第3组患者（分别为p = 0.022和p = 0.005）。剖宫产术后第8小时接受TENS治疗的患者镇痛需求显著较低（p = 0.006）。阴道分娩后第8小时，接受TENS治疗的患者与接受安慰剂治疗的患者在镇痛需求上在统计学上相似（p = 0.830）。
TENS是一种有效、可靠、实用且易于获得的产后疼痛治疗方式。
