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Received:July 13, 2021 Published Online:February 20, 2022
Received:July 13, 2021 Published Online:February 20, 2022
中文摘要: 目的 观察揿针耳穴贴压在体外受精-胚胎移植(IVF-ET)经阴道超声穿刺取卵术中的镇痛效果及不良反应,探讨其可能的镇痛机理。方法 将2020年1月至2021年2月收治的210例行IVF-ET经阴道超声穿刺取卵术的患者按治疗方法分为3组:揿针组、耳穴压豆组、药物对照组,每组70例。揿针组和耳穴压豆组选穴均为双侧子宫、盆腔、神门、交感、皮质下、内分泌,分别予揿针和耳豆贴压,药物对照组选吲哚美辛0.1 g纳肛,比较3组患者取卵术中及术后1 h的疼痛分级指数(PRI)、现有疼痛强度(PPI)、目测类比定级法(VAS),术中及术后不良反应发生率、取卵手术时间及获卵数。结果 3组的取卵时间、获卵数差异无统计学意义(P>0.05)。揿针组、耳穴压豆组及药物对照组的术中及术后1 h PRI、VAS、PPI评分呈增高趋势,差异有统计学意义(P<0.05)。揿针组(8.57%)、耳穴压豆组(10.00%)总不良反应发生率低于药物对照组(34.29%),差异有统计学意义(P<0.01)。结论 揿针在IVF-ET经阴道取卵术中镇痛效果好,术中及术后不良反应发生率低,且效果优于耳穴压豆
中文关键词: 揿针 耳穴压豆 经阴道超声穿刺取卵术 体外受精-胚胎移植
Abstract:Objective To observe the analgesic effects and adverse reactions of auricular point pressing needle in invitro fertilization-embryo transfer(IVF-ET)transvaginal ultrasound-guided oocyte retrieval(TVOR), and to explore its possible analgesic mechanism. Methods From January 2020 to February 2021, 210 patients received IVF-ET TVOR were divided into 3 groups according to treatment: press needle group, auricular point press group, and drug control group, with 70 cases in each group. The selected auricular point in press needle group and auricular point press group were bilateral uterus, pelvic cavity, Shenmen, sympathetic, subcortical, and endocrine. The drug control group was given indomethacin 0.1 g sodium anus. The pain grading index (PRI), current pain intensity (PPI), visual analogue grading method (VAS) during and 1 hour after the TVOR, the incidence of intraoperative and postoperative adverse reactions, TVOR operation time and number of oocytes obtained were compared among three groups. Results There was no significant difference in the TVOR operation time and number of oocytes obtained in three groups (P>0.05). The PRI, VAS, and PPI scores of the press needle group, auricular point press group, and drug control group showed a tendency to increase during the operation and 1 h after the operation, and the difference was significant (P<0.05). The incidence of total adverse reactions in the press needle group (8.57%) and auricular point press group (10.00%) was lower than that of the drug control group (34.29%), and the difference was significant (P<0.01). Conclusion The analgesic effect of auricular point pressing needle in IVF-ET TVOR is better, the incidence of intraoperative and postoperative adverse reactions is low, and the effect is better than auricular point press bean.
keywords: Pressing needle Auricular point press bean Transvaginal ultrasound-guided oocyte retrieval Invitro fertilization-embryo transfer
文章编号: 中图分类号:R714.8 文献标志码:B
基金项目:国家自然科学基金(81960885);海南省卫生健康行业科研项目(20A200177,20A200065)
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