Bakacak Zeyneb, Demirel Adnan, Bakacak Murat, Urfalıoğlu Aykut, Yaylalı Aslı, Boran Ömer Faruk, Kaplanoğlu Mustafa, Kıran Hakan, Gizir Mehtap
Private Clinic, Kahramanmaraş, Turkey.
Bolu Abant İzzet Baysal University Faculty of Medicine, Department of Physical Therapy and Rehabilitation, Bolu, Turkey.
Turk J Obstet Gynecol. 2020 Dec;17(4):253-258. doi: 10.4274/tjod.galenos.2020.66592. Epub 2020 Dec 10.
To investigate the effect of acupuncture on reducing pain and anxiety related to hysterosalpingography (HSG).
A total of 107 patients planned to undergo HSG were randomly separated into 3 groups; the acupuncture group (n=36), intramuscular diclofenac sodium group (n=35), and control group (n=37). In the acupuncture group, electro-acupuncture was applied to specified points for 20 mins before the procedure. In the intramuscular diclofenac sodium group, an intramuscular injection of 75 mg diclofenac sodium was applied 30 mins before the procedure. No analgesics were administered to the patients in the control group before intervention. Pain was evaluated with a Visual Analog scale (VAS) and anxiety with the State-trait Anxiety inventory -state (STAI-S), preoperatively and at specified times postoperatively.
The VAS scores at 1 and 5 minutes after HSG were similar in acupuncture group and intramuscular diclofenac sodium group, and significantly lower than in the control group. At 30 mins postoperatively, there was no significant difference between the 3 groups in respect of the VAS scores. The STAI-S scores at 1 hour preoperatively were similar in all the groups (p=0.563). In the comparisons of the STAI-S values at preoperative 5 mins, following acupuncture in acupuncture group and the diclofenac injection in intramuscular diclofenac sodium group, and at postoperative 30 mins, the acupuncture group values were determined to be statistically significantly lower than those of the other groups (p<0.001, p<0.001).
Acupuncture has similar effects on the reduction of pain as other analgesics and reduces anxiety. It can therefore be used in HSG in suitable clinics.
探讨针刺对减轻子宫输卵管造影术（HSG）相关疼痛和焦虑的效果。
总共107例计划接受HSG的患者被随机分为3组；针刺组（n = 36）、肌肉注射双氯芬酸钠组（n = 35）和对照组（n = 37）。针刺组在手术前于特定穴位进行电针治疗20分钟。肌肉注射双氯芬酸钠组在手术前30分钟肌肉注射75毫克双氯芬酸钠。对照组患者在干预前未给予任何镇痛药。术前及术后特定时间采用视觉模拟量表（VAS）评估疼痛，采用状态-特质焦虑量表-状态（STAI-S）评估焦虑。
HSG后1分钟和5分钟时，针刺组和肌肉注射双氯芬酸钠组的VAS评分相似，且显著低于对照组。术后30分钟时，3组的VAS评分无显著差异。术前1小时所有组的STAI-S评分相似（p = 0.563）。在术前5分钟、针刺组针刺后和肌肉注射双氯芬酸钠组注射双氯芬酸钠后以及术后30分钟的STAI-S值比较中，针刺组的值在统计学上显著低于其他组（p < 0.001，p < 0.001）。
针刺在减轻疼痛方面与其他镇痛药有相似效果，并能减轻焦虑。因此，它可在合适的诊所用于HSG。
