電針對剖腹生產術後疼痛之影響

林昭庚
私立中國醫
目前在緩解術後疼痛較常使的藥物以嗎啡和鴉片類止痛藥為主，但由於它們常會造成不可預期的副作用，如噁心、嘔吐、眩暈、搔癢、尿閉、呼吸抑制等。另一方面，雖然現代醫學對疼痛的機轉雖日益清楚，止痛的技術亦日趨純熟與繁多，但對於傳統針灸之應用於術後疼痛的治療研究，卻顯得相當的不足。而文獻研究顯示電刺激技術如電針刺激(electroacupuncture)或經皮電刺激(transcutaneous electrical nerve stimulation)也逐漸被公認能減輕手術後的傷口疼痛和減少止痛藥的使用。同時經由靜脈注射的病人自控式上痛法(Intravenous patient-controlled analgesia; PCA)目前已被廣泛應用於術後疼痛的處理。因此本研究以接收剖腹生產手術的病人為對象，評估麻醉前電針針刺雙側三陰交，同時術後配合使用 PCA，以探討電計對術後疼痛的緩解效應。本研究收集中國醫藥學院附設醫院中，接受半身麻醉進行剖腹生產手術的90位病患，於開刀後將病患隨機分為三組：對照組、針刺組、電針組。於針刺後紀錄病患第一次要求止痛藥(patient control analgesia)的時間間隔和二十四小時內止痛藥的總使用量，並觀察紀錄病患生命徵象(vital signs)和疼痛等級 (visual analogue scale; VAS)。研究結果依變異數分析(ANOVA)評定在統計學上是否具有顯著的差異(p<0.05或p<0.01)。
關鍵字：針刺、電針、術後疼痛

[*] 89 年度 / 編號： CCMP89-RD-014

Effect of electroacupuncture on postoperative pain on cesarean section

Jaung-Geng Lin
China Medical College

At present, Morphine and Opium are often used as analgesic to relieve the pain after operation. However, usually they will result in unexpected side effects, such as : nausea, vomiting, dizziness, itching, dysuria, and breathing restrain, etc. On the other hand, although modern medicine is gradually getting clear about the mechanism of pain and the technology to alleviate pain becomes mature and versatile, it is still insufficient to have the research on traditional acupuncture to be applied for pain relief after operation. While, from the research on documents, it shows that the technology of electroacupuncture or transcutaneous electrical nerve stimulation is gradually recognized to alleviate pain of wound after operation so as to reduce the application of analgesic. Meantime, the intravenous patient-controlled analgesia; PCA, now is widely adopted for treatment on pain relief after operation. Therefore, the patients of this research are focused on the caesarian operation to
關鍵字：acupuncture, electroacupuncture, postoperative pain