腕踝针在人工流产术中对疼痛及人流综合征发生率的影响

目的观察腕踝针在人工流产术中对疼痛及人流综合征发生率的影响。方法选取76例要求施行人工流产术的患者,随机分为观察组和对照组,每组38例。观察组在人工流产术前20min进行腕踝针镇痛治疗至手术结束;对照组不采用任何镇痛治疗。记录两组患者人工流产术过程中、术后15min及术后30min的疼痛视觉模拟评分(VAS),人流综合征的发生情况,术中出血量及手术成功率,并进行比较。结果观察组术中及术后15minVAS评分低于对照组(P<0.05);术后30min两组间VAS评分无统计学差异(P>0.05)。观察组人流综合征发生率低于对照组(P<0.05);观察组人流综合征分级与对照组比较差异具有统计学意义(P<0.05)。两组患者手术出血量及手术成功率比较差异无统计学意义(P>0.05)。观察组手术中及手术后均未发现晕针、针孔感染等并发症。结论腕踝针在人工流产术中能发挥即时的镇痛作用,同时可降低人流综合征的发生率,安全有效,促进患者术后的快速康复。

Effect of Wrist-ankle Acupuncture on Pain and the Incidence of Abortion Syndrome During Induced Abortion

Objective To investigate the effect of wrist-ankle acupuncture on pain and the incidence of abortion syndrome during induced abortion. Method Seventy-six patients who required induced abortion were enrolled and randomized to observation and control groups, 38 cases each. The observation group received wrist-ankle acupuncture for analgesia 20 min before induced abortion until the end of it and the control group, no any analgesic treatments. The Visual Analogue Scale (VAS) score was recorded and the occurrence of abortion syndrome, intraoperative amount of bleeding and the surgical success rate were observed in the two groups of patients during induced abortion and 15 and 30 min after. Comparisons were made. Result The VAS score was lower during the operation and 15 min after in the observation group than in the control group (P<0.05) and had no statistically significant difference 30 min after the operation between the two groups (P>0.05). The incidence of abortion syndrome was lower in the observation group than in the control group (P<0.05);abortion syndrome grading had a statistically significant difference between the observation and control groups (P<0.05). There were no statistically significant differences in intraoperative amount of bleeding and the surgical success rate between the two groups of patients (P>0.05). No complications such as fainting during acupuncture and needle tract infection occurred in the observation group during and after the operation. Conclusion Wrist-ankle acupuncture can produce an immediate analgesic effect and reduce the incidence of abortion syndrome during induced abortion. It is safe and effective and promotes postoperative rapid rehabilitation in the patients.