Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal-epidural analgesia with patient-controlled epidural analgesia.


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
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

123-128

Subventions

Organisme : Guangdong Science and Technology Department
ID : 2016A020226051
Pays : International

Auteurs

Jinfeng Xiao (J)

Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, No. 232, Waihuan East Road, Higher Education Mega Center, Panyu District, Guangzhou, Guangdong, China. 1440379225@qq.com.

Wei Yi (W)

Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, No. 232, Waihuan East Road, Higher Education Mega Center, Panyu District, Guangzhou, Guangdong, China.

Lingling Wu (L)

Department of Obstetrics and Gynecology, the Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, Guangdong, China.

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Classifications MeSH