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注射低剂量皮下无菌水与生理盐水缓解分娩背痛的效果:随机对照试验。

Effectiveness of injecting lower dose subcutaneous sterile water versus saline to relief labor back pain: Randomized controlled trial.

作者信息

Fouly Howieda, Herdan Ragaa, Habib Dina, Yeh Chao

机构信息

Obstetrics & Gynecology Nursing, Faculty of Nursing, Assiut University, Egypt.

Anesthesia & Intensive Care, Faculty of Medicine, Women's Health Hospital, Assiut University, Egypt.

出版信息

Eur J Midwifery. 2018 Mar 14;2:3. doi: 10.18332/ejm/85793. eCollection 2018.


DOI:10.18332/ejm/85793
PMID:33537564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7848597/
Abstract

INTRODUCTION: The aim of this study was to investigate the effect of a lower dose subcutaneous sterile water injection technique versus subcutaneous saline injection, on the relief of low-back pain for women during childbirth, and to explore the lasting effects of pain relief after administration (followed at 15, 30, 45, 90 and 120 minutes). METHODS: A prospective randomized controlled single-blinded study was conducted, with trial registration (NCT02813330). Women received one-time injections (sterile water or saline) and the effectiveness was observed at 15, 30, 45, 90 and 120 minutes after the intervention. RESULTS: The intervention group had statistically significant pain reduction. Assessment of subsequent pain, followed at 30, 45, 90 and 120 minutes, reflected an increasing change with a statistically significant difference. The intervention group had more burning sensations than the control group with a statistically significant difference. CONCLUSIONS: The modified technique of double injections of subcutaneous 'water/ saline' resulted in significant relief of low-back pain during childbirth.

摘要

引言:本研究旨在探讨低剂量皮下注射无菌水技术与皮下注射生理盐水相比,对分娩期女性腰痛缓解的效果,并探究给药后(在15、30、45、90和120分钟时进行随访)疼痛缓解的持续效果。 方法:进行了一项前瞻性随机对照单盲研究,并进行了试验注册(NCT02813330)。女性接受一次性注射(无菌水或生理盐水),并在干预后15、30、45、90和120分钟观察效果。 结果:干预组疼痛减轻具有统计学意义。在30、45、90和120分钟时对后续疼痛的评估显示,变化呈上升趋势,具有统计学意义。干预组的烧灼感比对照组更多,差异具有统计学意义。 结论:改良的皮下“水/盐水”双注射技术可显著缓解分娩期的腰痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/116f3eea7a24/EJM-2-3-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/f3c62ed1d41e/EJM-2-3-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/76507d0edd0d/EJM-2-3-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/62929b229d50/EJM-2-3-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/116f3eea7a24/EJM-2-3-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/f3c62ed1d41e/EJM-2-3-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/76507d0edd0d/EJM-2-3-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/62929b229d50/EJM-2-3-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f14/7848597/116f3eea7a24/EJM-2-3-g004.jpg

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Effectiveness of injecting lower dose subcutaneous sterile water versus saline to relief labor back pain: Randomized controlled trial.

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Ann Med Surg (Lond). 2024-6-10

[2]
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本文引用的文献

[1]
Effects of intracutaneous injections of sterile water in patients with acute low back pain: a randomized, controlled, clinical trial.

Braz J Med Biol Res. 2016-3

[2]
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[3]
Increase in prescription opioid use during pregnancy among Medicaid-enrolled women.

Obstet Gynecol. 2014-5

[4]
The influence of complementary and alternative medicine use in pregnancy on labor pain management choices: results from a nationally representative sample of 1,835 women.

J Altern Complement Med. 2013-8-21

[5]
Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: a randomised controlled trial.

Midwifery. 2012-7-7

[6]
The relief of pain in labour and the role of remifentanil.

Eur J Anaesthesiol. 2012-3

[7]
Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour.

Cochrane Database Syst Rev. 2012-1-18

[8]
Cross sectional study of Australian midwives knowledge and use of sterile water injections for pain relief in labour.

Women Birth. 2012-1-4

[9]
Alternatives to neuraxial analgesia for labor.

Curr Opin Anaesthesiol. 2011-6

[10]
A randomised non-inferiority controlled trial of a single versus a four intradermal sterile water injection technique for relief of continuous lower back pain during labour.

BMC Pregnancy Childbirth. 2011-3-23

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