摘要
目的:观察针刺复合麻醉对不同痛阈患者的镇痛效果。方法:将700例准备行经阴道超声引导取卵术接受体外受精和胚胎移植的不孕症患者随机分为针刺复合麻醉组(347例)和单纯度冷丁组(353例),针刺复合麻醉组于取卵前1日预针刺前30 min测量痛阈,单纯度冷丁组于取卵手术前30 min注射度冷丁前测量痛阈,取卵术前30 min两组分别接受电针(穴取肾俞、次髎、百会、三阴交等)结合肌肉注射度冷丁和单纯肌肉注射度冷丁镇痛。结果:痛阈为1 mA、1.5 mA和2 mA的患者,针刺复合麻醉组的疼痛积分显著低于单纯度冷丁组(P<0.01,P<0.05),对于痛阈为0.5 mA、2.5 mA、3 mA的患者,两组疼痛积分差异无统计学意义(均P>0.05)。结论:针刺复合麻醉对于痛阈处于中间段的患者镇痛效果最佳。
Objective To observe analgesic effect of acupuncture compound anesthesia for patients of different pain thresholds. Methods Seven hundred cases of infertility who will be taken ova under ultrasound guidance via the vagina and receive in vitro fertilization and embryo transfer （IVF-ET）, were randomly divided into an acupuncture compound anesthesia group （n=347） and a simple Dolantin group （n=353）. The pain thresholds in the acupuncture compound anesthesia group was determined 30 min before acupuncture on one day before taking ova, and in the simple Dolantin group was determined before injection of Dolantin and 30 min before taking the ova. The patients in the two groups respectively received electroacupuncture at Shenshu （BL 23）, Ciliao （BL 32）, Baihui （GV 20）, Sanyinjiao （SP 6）, etc. combined with intramuscular injection of Dolantin, and simple intramuscular injection of Dolantin. Results For the patients with pain thresholds of 1 mA, 1.5 mA and 2 mA, the cumulative scores of pain in the acupuncture compound anesthesia group were significantly lower than those in the simple dolantin group （P〈0.01, P〈0.05）. For the patients with pain thresholds of 0. 5 mA, 2.5 mA and 3 mA, in cumulative scores of pain there were no significant differences between the two groups （P〉0.05）. Conclusion For the patients with moderate pain thresholds, acupuncture compound anesthesia has good analgesic effect.
出处
《中国针灸》
CAS
CSCD
北大核心
2009年第1期29-31,共3页
Chinese Acupuncture & Moxibustion
关键词
针药复合麻醉
痛阈
针刺镇痛
Combined Acup Medic Anesthesia
Pain Threshold
Acupuncture Analgesia
