CAJ | 학술논문

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。
목적관찰전침대취란술중、술후불괄증상적개선정황,위금후전침재취란술중적응용제공과학、유효적림상의거。방법장134례접수IVF-ET조잉적문진환자수궤분위치료조화대조조,매조67례。량조환자균우술전30 min접수기육주사두랭정50 mg,치료조주사두랭정후급여침자백회、자궁(우이)、동통혈(우)、삼양락(우)、족삼리(우),득기후재동통혈화삼양락련접SDZ-2형전침의,취란수술결속후기침。대조조주사두랭정30 min후진행취란수술。기록량조취란수술시간；측량주사두랭정전화수술결속후혈압；병관찰량조환자술중불괄증상현훈、악심、구토、출한、구간、심계、복창；술후0.5 h、1 h、1.5 h、2 h적불괄증상(현훈、악심、구토、복통、핍력)。결과치료조취란시간여대조조비교차이유통계학의의(P＜0.05)；치료조술중불괄증상현훈、출한、악심、심계출현솔여대조조비교차이균유통계학의의(P＜0.05)；술후0.5 h、1 h、1.5 h、2 h불괄증상(현훈、구토、악심、복통、핍력)여대조조비교차이균유통계학의의(P＜0.05)。술후불괄증상(현훈、구토、악심、복통、핍력)조간비교차이유통계학의의(P＜0.05)。치료조술전급술후수축압、술후서장압여대조조비교차이유통계학의의(P＜0.05)。결론재경음도B초인도하적취란술중,전침재완해술중급술후불괄증상방면유명현적작용。
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.