揿针疗法在剖宫产术后疼痛中的应用效果

Effect of Press-Needle Therapy on Pain after Cesarean Section

目的探讨揿针疗法缓解剖宫产术后宫缩痛的效果.方法将100例行剖宫产的产妇按随机数字表法分为观察组与对照组,每组50例.对照组产妇在剖宫产后使用镇痛泵镇痛,观察组在对照组基础上实施合谷、内关、次髎、三阴交穴揿针疗法.比较2组术后6、12、18、24、30 h NRS疼痛评分及疼痛持续时间,镇痛泵有效按压次数;观察2组术后肠道功能恢复情况.结果观察组术后各时点NRS疼痛评分均较对照组显著降低,术后疼痛持续时间、肛门排气时间、肠鸣音恢复时间及首次排便时间均较对照组显著缩短,差异均有统计学意义(均P<0.05).2组术后各时点镇痛泵有效按压次数比较差异无统计学意义(P>0.05).结论揿针疗法能有效缓解剖宫产术后宫缩痛,同时可促进产妇术后肠道功能恢复.

Objective To explore the effect of press-needle therapy on uterine contraction pain after cesarean section.Methods A total of 100 parturients were randomly treated with analgesic pump alone(control group,n=50)or in combination with press-needle therapy at Hegu,Neiguan,Cixiu and Sanyinjiao acupoints(observation group,n=50)after cesarean section.The numeric rating scale(NRS)pain scores were measured 6,12,18,24 and 30 h after operation.The duration of pain,effective pressing times of analgesic pump and intestinal function recovery were compared between the two groups.Results The NRS scores in the observation group were lower than those in the control group at all timepoints(P<0.05).Furthermore,the duration of postoperative pain and the time to first flatus,defecation and bowel sound recovery in the observation group were shorter than those in the control group(P<0.05).There was no significant differences in the effective pressing times of analgesic pump between the two groups(P>0.05).Conclusion Press-needle therapy can effectively relieve uterine contraction pain and promote intestinal function recovery after cesarean section.