Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal-epidural analgesia with patient-controlled epidural analgesia.
Adult
Analgesia, Epidural
/ adverse effects
Analgesia, Obstetrical
/ adverse effects
Analgesia, Patient-Controlled
/ adverse effects
Analgesics
/ administration & dosage
Anesthesia, Epidural
/ adverse effects
Anesthetics
Apgar Score
Electroacupuncture
/ methods
Female
Humans
Labor Pain
/ therapy
Labor, Obstetric
/ drug effects
Oxytocin
/ administration & dosage
Pain Measurement
Pregnancy
Treatment Outcome
Visual Analog Scale
Combined spinal–epidural analgesia
Complications
Electroacupuncture
Labor analgesia
Patient-controlled epidural analgesia
VAS
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
25
05
2018
accepted:
25
10
2018
pubmed:
15
11
2018
medline:
17
1
2020
entrez:
15
11
2018
Statut:
ppublish
Résumé
To compare the pain scores and rates of complications in the labor analgesia process between the two groups. There were 127 participants being recruited in this research, and randomly divided into 2 groups according to the anesthetic technique: CSEA with PCEA with EA group (group 1), CSEA with PCEA group (group 2). Group 1 was first operated CSEA and PCEA, then EA at Hegu (LI4), Neiguan (PC6), Zusanli (ST36) and Sanyinjiao (SP6) by HANS-200A device for 25 min. Group 2 was only treated by CSEA and PCEA. The main outcome was the VAS for labor pain. Meanwhile the complications, use of oxytocin, durations of three stages, delivery mode, cord blood pH and neonatus Apgar score in this study were considered as secondary outcomes. After labor analgesia, the VAS scores of group 1 at the five point-in-times were all lower than that of group 2. The rates of fever and urinary retention of group 1 were lower compared with group 2. Group 1 had less usage of oxytocin and shorter durations of cervical dilation from 3 to 10 cm and third stage than group 2. EA can help to reduce labor pain in CSEA with PCEA labor analgesia process, and may be able to reduce the complications.
Identifiants
pubmed: 30426192
doi: 10.1007/s00404-018-4955-6
pii: 10.1007/s00404-018-4955-6
doi:
Substances chimiques
Analgesics
0
Anesthetics
0
Oxytocin
50-56-6
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
123-128Subventions
Organisme : Guangdong Science and Technology Department
ID : 2016A020226051
Pays : International