文献类型：期刊文献

中文题名：电针改善取卵术中术后不适症状的研究

英文题名：Study on Electroacupuncture in Improving Discomforts During and after Oocyte Retrieval

作者：陈前琼[1];魏清琳[2];敬思猛[1];彭文化[1];王婷婷[1];张学红[3]

第一作者：陈前琼

机构：[1]中国人民解放军第25医院,酒泉735000;[2]甘肃中医学院附属医院,兰州730020;[3]兰州大学第一医院,兰州730000

第一机构：中国人民解放军第25医院,酒泉735000

年份：2014

卷号：33

期号：8

起止页码：730

中文期刊名：上海针灸杂志

外文期刊名：Shanghai Journal of Acupuncture and Moxibustion

收录：CSTPCD

基金：甘肃省中医药科学技术研究项目(GZK-2010-Z5)

语种：中文

中文关键词：电针;生殖技术;取卵术;不适症状

外文关键词：Electroacupuncture;Reproductive techniques;Oocyte retrieval;Discomforts

摘要：目的观察电针对取卵术中、术后不适症状的改善情况,为今后电针在取卵术中的应用提供科学、有效的临床依据。方法将134例接受IVF-ET助孕的门诊患者随机分为治疗组和对照组,每组67例。两组患者均于术前30 min接受肌肉注射杜冷丁50 mg,治疗组注射杜冷丁后给予针刺百会、子宫(右耳)、疼痛穴(右)、三阳络(右)、足三里(右),得气后在疼痛穴和三阳络连接SDZ-2型电针仪,取卵手术结束后起针。对照组注射杜冷丁30 min后进行取卵手术。记录两组取卵手术时间;测量注射杜冷丁前和手术结束后血压;并观察两组患者术中不适症状眩晕、恶心、呕吐、出汗、口干、心悸、腹胀;术后0.5 h、1 h、1.5 h、2 h的不适症状(眩晕、恶心、呕吐、腹痛、乏力)。结果治疗组取卵时间与对照组比较差异有统计学意义(P<0.05);治疗组术中不适症状眩晕、出汗、恶心、心悸出现率与对照组比较差异均有统计学意义(P<0.05);术后0.5 h、1 h、1.5 h、2 h不适症状(眩晕、呕吐、恶心、腹痛、乏力)与对照组比较差异均有统计学意义(P<0.05)。术后不适症状(眩晕、呕吐、恶心、腹痛、乏力)组间比较差异有统计学意义(P<0.05)。治疗组术前及术后收缩压、术后舒张压与对照组比较差异有统计学意义(P<0.05)。结论在经阴道B超引导下的取卵术中,电针在缓解术中及术后不适症状方面有明显的作用。
Objective To observe the efficacy of electroacupuncture in improving discomforts during and after oocyte retrieval, for providing scientific and significant clinical evidence for the application of electroacupuncture to oocyte retrieval.Method A hundred and thirty-four outpatients receiving IVF-ET fertility treatment were randomized into a treatment group and a control group, 67 in each group. The two groups both received muscular injection with Sauteralgyl 50 mg. Additionally, the treatment group was also given acupuncture at Baihui （GV20）, Uterus （MA-TF, right ear）, Tengtong （Extra, right）, Sanyangluo （TE8, right）, and Zusanli （ST36）. When needling qi arrived, Tengtong （Extra） and Sanyangluo （TE8） were connected to SDZ-2 electroacupuncture apparatus. The needles were removed at the end of oocyte retrieval. For patients in the control group, oocyte retrieval was conducted 30 min after injection with Sauteralgyl. The operation duration was recorded; blood pressures before injection and at the end of surgery were measured; discomforts including dizziness, nausea, vomiting, perspiration, dry mouth, palpitation, and abdominal distension during operation were observed; discomforts （dizziness, nausea, vomiting, abdominal pain, and lassitude） 0.5 h, 1.5 h, and 2 h after operation were observed.Result The difference in comparing oocyte retrieval duration was statistically significant between the two groups （P〈0.05）; there were significant differences in comparing the occurrence rates of dizziness, perspiration, nausea, and palpitation during operation between the two groups （P〈0.05）; there were significant differences in comparing dizziness, vomiting, nausea, abdominal pain, and lassitude between the two groups 0.5 h, 1 h, 1.5 h, and 2 h after operation （P〈0.05）. The inter-group differences in dizziness, vomiting, nausea, abdominal pain, and lassitude were statistically significant after operation （P〈0.05）.Conclusion Electroacupuncture is effective in relieving discomforts during and after oocyte retrieval under transvaginal ultrasound.