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Aqueous Acupuncture for Postoperative Pain – A Matched Controlled Trial

水針對手術後疼痛的控制-配對對照臨床試驗

摘要


針灸止痛的效果是舉世公認的。水針,也就是穴位注射,是近年改良的一種方便的現代化針灸方法。本配對對照臨床試驗目的在於瞭解水針對手術後疼痛控制的效果。選取12名病患接受手術後水針止痛及另外12位年齡、性別及手術術式相近的病例為對照組。治療穴位取位於四肢、易於取穴且易於注射之合谷及陽陵泉,以二至五西西之百分之二十葡萄糖注射於穴位。對照組則僅加以觀察,兩組在疼痛厲害時均給予注射止痛劑。結果顯示研究組比對照組有顯著較低的手術後疼痛強度且其麻醉性止痛藥使用的數量及次數亦較少,尤其以手術後的12小時內差別較大。因此,水針對於手術後疼痛之控制是方便且有效的。

關鍵字

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並列摘要


The analgesic effects of acupuncture are well-documented. Aqueous acupuncture, or point injection, is a conveniently modified modern modern acupuncture method. This matched controlled trial was carried out to evaluate the effects of aqueous acupuncture in postoperative pain control. A total of 12 patients were selected as age-, sex- and operative-style- matched controls. In treating groups, 2 to 5 ml of 20% glucose solution was injected into Ho-Ku (LI 4) and Yang-Ling-Chun (GB 34) when patients had regained conciousness from operation anesthesia. The pain intensity were recorded as score system included verbal sleep disturbance and use of narcotics. In comparisons with the control group, the intensity of postoperative pain, and the amounts and frequency of narcotics used were significantly lower in the study group, especially for the first 12 postoperative hours. Aqueous acupuncture is a convenient and effective procedure in postoperative pain control.

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