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经皮穴位电刺激对取卵术后疼痛缓解的作用:一项随机对照试验。

Transcutaneous electrical acupoint stimulation benefits postoperative pain relief of oocyte retrieval: A randomized controlled trial.

机构信息

Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu 610000, Sichuan Province, China.

Traditional Chinese Medicine Department, Sichuan Jinxin Xi'nan Women's and Children's Hospital, Chengdu 610000, Sichuan Province, China.

出版信息

J Integr Med. 2024 Jan;22(1):32-38. doi: 10.1016/j.joim.2024.01.005. Epub 2024 Jan 24.

Abstract

BACKGROUND

Transvaginal oocyte retrieval is frequently followed by adverse events related to anesthesia and the procedure. Some research showed that transcutaneous electrical acupoint stimulation (TEAS) can relieve intraoperative pain and postoperative nausea.

OBJECTIVE

This study examined whether TEAS can alleviate pain and relieve adverse symptoms after oocyte retrieval.

DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: Altogether 128 patients were randomly divided into the TEAS group and the mock TEAS group. The two groups received a 30-minute-long TEAS or mock TEAS treatment that began 30 min after oocyte retrieval.

MAIN OUTCOME MEASURES

The primary outcome was the visual analog scale (VAS) pain score. Secondary outcomes were pressure pain threshold, McGill score, pain rating index (PRI), present pain intensity (PPI), VAS stress score, VAS anxiety score, and postoperative adverse symptoms.

RESULTS

The baseline characteristics of the two groups were comparable (P > 0.05). The VAS pain scores of the TEAS group were lower than those of the mock TEAS group at 60 and 90 min after oocyte retrieval (P < 0.05). The McGill score, PRI and PPI in the TEAS group were significantly lower than those in the control group at 60 min after oocyte retrieval (P < 0.05). However, the two groups had equivalent beneficial effects regarding the negative emotions, such as nervousness and anxiety (P > 0.05). The TEAS group was superior to the mock TEAS group for relieving postoperative adverse symptoms (P < 0.05).

CONCLUSION

TEAS treatment can relieve postoperative pain and postoperative adverse symptoms for patients undergoing oocyte retrieval. Please cite this article as: Liu LY, Su Y, Wang RR, Lai YY, Huang L, Li YT, Tao XY, Su MH, Zheng XY, Huang SC, Wu YN, Yu SY, Liang FR, Yang J. Transcutaneous electrical acupoint stimulation benefits postoperative pain relief of oocyte retrieval: A randomized controlled trial. J Integr Med. 2024; 22(1): 32-38.

摘要

背景

经阴道取卵常伴有麻醉和手术相关的不良事件。一些研究表明,经皮穴位电刺激(TEAS)可缓解术中疼痛和术后恶心。

目的

本研究旨在探讨 TEAS 是否可减轻取卵后疼痛并缓解不良反应。

设计、地点、参与者和干预措施:共 128 例患者随机分为 TEAS 组和模拟 TEAS 组。两组均接受 30 分钟的 TEAS 或模拟 TEAS 治疗,在取卵后 30 分钟开始。

主要观察指标

主要结局指标为视觉模拟评分(VAS)疼痛评分。次要结局指标为压力疼痛阈值、McGill 评分、疼痛分级指数(PRI)、现有疼痛强度(PPI)、VAS 应激评分、VAS 焦虑评分和术后不良反应。

结果

两组基线特征无差异(P>0.05)。TEAS 组 VAS 疼痛评分在取卵后 60、90 分钟均低于模拟 TEAS 组(P<0.05)。TEAS 组在取卵后 60 分钟时 McGill 评分、PRI 和 PPI 均显著低于对照组(P<0.05)。然而,两组在焦虑和紧张等负性情绪方面具有相似的有益作用(P>0.05)。TEAS 组在缓解术后不良反应方面优于模拟 TEAS 组(P<0.05)。

结论

TEAS 治疗可缓解取卵术后疼痛和术后不良反应。

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