99th MDG, Nellis Air Force Base, Nevada 89191, United States; 375th MDG, Scott Air Force Base, Illinois 62225, United States.
99th MDG, Nellis Air Force Base, Nevada 89191, United States.
Explore (NY). 2019 Nov-Dec;15(6):409-414. doi: 10.1016/j.explore.2019.05.001. Epub 2019 May 22.
Postpartum pain affects quality of life. Clinicians are increasingly using acupuncture for management of pain. Evidence based strategies that incorporate acupuncture for postpartum pain are lacking.
We performed an exploratory, randomized clinical trial of Battlefield Auricular Acupuncture (BFA) plus standard analgesia versus standard analgesia alone for reduction of pain in the immediate postpartum period.
The mean time to 50% sustained reduction of initial pain in the standard analgesia group (n = 33) was 6 days compared to 5 days in the standard analgesia plus BFA (n = 37) group (p = 0.35). The mean total morphine equivalent units (MEUs) in the standard group compared to standard plus BFA group were 88 mg and 82 mg respectively (p = 0.45).
This exploratory comparison suggests that BFA may not provide additional benefit to standard analgesia for immediate postpartum pain; however, the trend toward faster reduction in pain indicates that a larger definitive study may be required.
产后疼痛会影响生活质量。临床医生越来越多地使用针灸来治疗疼痛。缺乏将针灸纳入产后疼痛管理的循证策略。
我们进行了一项探索性、随机临床试验，比较了战场耳针（BFA）加标准镇痛与单纯标准镇痛在减少产后即刻疼痛方面的效果。
标准镇痛组（n=33）中初始疼痛持续缓解 50%的平均时间为 6 天，而标准镇痛加 BFA 组（n=37）为 5 天（p=0.35）。标准组的平均吗啡等效单位（MEUs）与标准加 BFA 组分别为 88mg 和 82mg（p=0.45）。
这项探索性比较表明，BFA 可能不能为产后即刻疼痛提供优于标准镇痛的额外益处；然而，疼痛缓解更快的趋势表明可能需要进行更大规模的确定性研究。
