针刺复合麻醉在经阴道取卵术中的应用

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1、生垦壁叁；!!!笙!旦箜垫鲞筮!塑文章编号：0255—2930(2008)06—0451—04中国分类号：R246．2文献橼悫码：A针刺复合麻醉在经阴道取卵术中的应用·451·，。。啼一+++‘+¨“。+。+、：针刺麻醉{、。+。_．。．}．．-¨_．+一．÷。，孟毕‘王玲玲1徐斌1孙海翔2(1．南泶中医药大学针药结合煞验室，南京210029；2．南京大学医学院附属鼓楼医院生殖隰学中心)[摘鬃】爱鼹：观察锋裁复合麻醉囊经麓遂超声摹l导下取秘术申酚镇痛效果和安全缓。穷法：将316例接受体外受精和胚胎移植的不孕症患者随机分为针刺复合麻醉组(7l一146)和单纯度冷丁级

2、(嚣=170)：术葡30rain2缀分别接受电针复合肌肉注射度冷丁和单纯肌肉注射度冷丁镇痛。结果：舒裁复合麻醉缀在疼痛等级和疼痛积分方霹瞒显侥于单纯度冷了纽(P<◇。01)；术后lh争拳意2—5h腹痛发盘率低于草纯度冷丁级(P

3、doocyteretrievalMENGPin91，WANGLing—lin91，XUBin1，SUNHai—xiang2(1。Nan}ingUniversityofTCM，Nanjing210029，China；2。TheAffiliatedDrumTowerHospitalofNanjingUniversityMedicalCollege)ABSTRACT：ObjectiveToobserveanalgesiceffectandsafetyofacupuncturecompoundanesthesiaintransvaginalultrasound—guide

4、doocyteretrieval．MethodsThreehundredandsixteencasesundergoinginvitrofertilizationandembryotransfer(IVF-ET)wererandomlyallocatedtOallacupuncturecompoundanesthesiagroup(雄一146)andasimplePethidinegroup(稚一170)．Theyreceivedrespectivelyelectroacupuncturecombinedwithintramuscularinjec—tionofP

5、ethidineandsimpleintramuscularinjectionofPethidine30rainbeforeoocyteretrieval．ResultsTheacu-puncturecompoundanesthesiagroupwassignificantlybetterthanthesimplePethidinegroupinthepainratingandpainscore≤P<0。01)：theincidencerateofabdominalpainat1hand2—5hafteroocyteretrievalintheacupunc-tu

6、recompoundanesthesiagroupwaslowerthanthatinthesimplePethidinegroup．ConclusionIntransvaginalultrasound—guidedOocyteretrieval，acupuncturecompoundanesthesiahastheadvancesofsafety，higheffectiveness，rapidrecoveryafteroocyteretrieval，andfewsideeffects．KEYWORDS：AeupAnesthesiaOperatio

7、n；CombinedAcupMedicAnesthesiaOvulationDetection；@Transvagi-nalOocyteRetrieval鬻黄，在体外受精翻瓤骀移植(invitrofertili-zationandembryotransfer，IVF-ET)取卵术中多数生皴中心采用经阴道超声引导下取卵，其优点是蔼授、剑辏夺、戈论盆整是否有粘连垮霹戳采溺，获卵率高达90％以上，术后即可下床活动，并鼠可多次、反复操作[1]。‘国内外备生殖中心在取卵术中使矮的麻酵稷镇痛方法不同攫

8、大多存在有效懂蓑、拳后恢复慢、不良反应多和对卵泡有潜在影响等缺点c2喵3。

9、笔者将针刺