CAJ | 학술논문

目的：探索电针治疗手术后痛的皮肤切口痛和内脏牵拉痛的最佳刺激参数。方法采用计算机检索中国知网(CNKI)、万方数据库(WF)、维普咨询网(VIP)和PubMed数据库,对符合纳入标准文献按相关参数进行频次统计,对电针治疗手术后痛的临床及实验研究文献进行总结。结果电针治疗皮肤切口痛的参数范围为术后治疗,选用连续波型,频率为2～15 Hz,集中在低频率,电流强度为2～5 mA；电针治疗内脏牵拉痛多在术前进行,选用疏密波,高低交替频率,以2/100 Hz为主,电流刺激强度主要集中在中低强度,以患者能够忍受为度。结论电针治疗手术后疼痛不同类型所用刺激参数不同,临床应用时应注重具体参数的选择。
목적：탐색전침치료수술후통적피부절구통화내장견랍통적최가자격삼수。방법채용계산궤검색중국지망(CNKI)、만방수거고(WF)、유보자순망(VIP)화PubMed수거고,대부합납입표준문헌안상관삼수진행빈차통계,대전침치료수술후통적림상급실험연구문헌진행총결。결과전침치료피부절구통적삼수범위위술후치료,선용련속파형,빈솔위2～15 Hz,집중재저빈솔,전류강도위2～5 mA；전침치료내장견랍통다재술전진행,선용소밀파,고저교체빈솔,이2/100 Hz위주,전류자격강도주요집중재중저강도,이환자능구인수위도。결론전침치료수술후동통불동류형소용자격삼수불동,림상응용시응주중구체삼수적선택。
Objective To find the optimal stimulation parameters of electroacupuncture for incision pain and visceral dragging pain after surgery.Method Databases including the China National Knowledge Infrastructure (CNKI), WanFang (WF), VIP and PubMed were retrieved by using computer. The eligible literatures related to the clinical and experimental studies on electroacupuncture for post-operative pain were summarized and the frequencies of the involved electroacupuncture parameters were counted.Result For incision pain, electroacupuncture was used after surgery, with continuous wave, usually a low frequency ranged 2~15 Hz and a current of 2~5 mA; for visceral dragging pain, electroacupuncture was used before surgery, with sparse-intense wave, alternate frequencies majorly at 2/100 Hz and a medium or low current intensity within patient’s endurance. Conclusion In clinical application, the elctroacupuncture parameters should be chosen carefully according to the type of post-operative pain.