Tsibuliak V N, Alisov A P, Shatrova V P
Anesteziol Reanimatol. 1995 Mar-Apr(2):93-7.
Efficacies of two methods of nondrug analgesia: acupuncture (1000 cases) and antipain transcutaneous electroneurostimulation (91 cases), as well as of narcotic analgesics omnopon and promedol (229 cases) were compared in the immediate and early postoperative period. In 229 cases acupuncture was used for the treatment of other functional complications of the postoperative period. The efficacies of the methods in question were assessed by formalized verbal estimation scales. Narcotic analgesics provided adequate analgesia in 75 to 79% of patients, electrostimulation in 61 to 64%, acupuncture in 50% of patients. Acupuncture, though less effective than narcotic analgesics, helped arrest or noticeably alleviate the severity of such postoperative complications as reflex retention of the urine, impairment of hte drainage function of the bronchi, intestinal paresis, bronchial asthma, vomiting, nausea, pain or itching in the stoma, chill, hyperthermia in 43 to 81% of cases. The authors come to a conclusion on the desirability of an integrative approach (combined use of drugs and nondrug methods of analgesia) in the management of postoperative pain.
比较了两种非药物镇痛方法（针刺法1000例、经皮电神经刺激止痛法91例）以及麻醉性镇痛药（阿片全碱和异丙嗪229例）在术后即刻和早期的镇痛效果。在229例中，针刺法用于治疗术后其他功能并发症。通过标准化的言语评定量表评估上述方法的疗效。麻醉性镇痛药使75%至79%的患者获得了充分镇痛，电刺激法为61%至64%，针刺法为50%。针刺法虽不如麻醉性镇痛药有效，但在43%至81%的病例中有助于阻止或显著减轻术后并发症的严重程度，如反射性尿潴留、支气管引流功能障碍、肠麻痹、支气管哮喘、呕吐、恶心、造口疼痛或瘙痒、寒战、体温过高。作者得出结论，在处理术后疼痛时采用综合方法（联合使用药物和非药物镇痛方法）是可取的。
