Keywords
Transcutaneous electrical nerve stimulation
Nonsteroidal ani-inflammatory drugs
Postpartum uterine pain
Analgesia
Submitted : 2024-12-08
Accepted : 2024-12-23
Published : 2025-01-07
Abstract
Objective: To explore the efficacy of auricular acupuncture combined with transcutaneous electrical nerve stimulation (TENS) and nonsteroidal anti-inflammatory drugs (NSAIDs) in alleviating postpartum uterine pain. Methods: A total of 501 postpartum women with uterine pain were randomly divided into an experimental group (n = 250) and a control group (n = 251). The control group received oral NSAIDs (such as ibuprofen sustained-release capsules, diclofenac sodium suppositories, etc.), while the experimental group received auricular acupuncture and TENS in addition to the NSAIDs. The clinical efficacy, pain intensity, and vaginal bleeding volume of the two groups were observed. Results: The total effective rate in the experimental group (93.20%) was significantly higher than that in the control group (73.20%) (P < 0.001). The NRS scores in the experimental group were lower than those in the control group after the intervention, and the bleeding volume within 24 h and 48 h after the intervention was also less than that in the control group, with significant differences (all P < 0.001). Conclusion: Auricular acupuncture combined with TENS and NSAIDs for the treatment of postpartum uterine pain is safe and effective, can significantly reduce pain and vaginal bleeding, and is worthy of clinical promotion.
References
Xu Z, Li W, Shen F, et al., 2016, Advances in the Treatment of Postpartum Uterine Contraction Pain. Shanghai Medical Journal, 39(8): 512–514.
Song D, 2023, Observation of the Effect of Wrist-Ankle Acupuncture Combined with Auricular Acupressure on Postpartum Uterine Contraction Pain. Practical Gynecological Endocrinology Electronic Journal, 10(27): 90–92.
Wang H, 2022, Application of Low-Frequency Neuromuscular Electrical Stimulation Combined with Pelvic Floor Muscle Training in Postpartum Urinary Retention. Medical Equipment, 35(16): 120–122.
Jia X, Yang M, Zheng B, et al., 2023, Clinical Observation of Transcutaneous Acupoint Electrical Stimulation for Postpartum Uterine Contraction Pain. Shanghai Journal of Acupuncture and Moxibustion, 42(1): 24–29.
Wang J, Wu Q, Dai S, et al., 2022, Efficacy of Wrist-Ankle Acupuncture Therapy for Uterine Contraction Pain in Multiparous Women. Practical Clinical Medicine, 23(6): 76–78.
Lei X, 2019, Observation of the Analgesic Effect of Press Needles on Uterine Contraction Pain in Cesarean Delivery Patients with Scarred Uterus. Practical Clinical Nursing Electronic Journal, 4(9): 81–82.
Su W, Pan J, Gao Z, et al., 2021, Effect of Electroacupuncture on Postpartum Uterine Contraction Pain and Uterine Involution: A Randomized Controlled Trial. Chinese Acupuncture and Moxibustion, 41(2): 165–168.
Tu M, 2019, Analysis of the Alleviating Effect of Acupoint Massage Combined with Moxibustion on Postpartum Uterine Contraction Pain. Harbin Medical Journal, 39(1): 77–79.
Li T, Zhang M, Lin D, et al., 2020, Observation of the Alleviating Effect of Warming Meridians and Promoting Blood Circulation with Herbal Compress Acupoint Thermotherapy on Postpartum Uterine Contraction Pain. China Journal of Traditional Chinese Medicine and Technology, 27(5): 836–837.
Wang J, Zhang X, Li G, et al., 2005, Advances in New Techniques of Auricular Acupuncture for Disease Diagnosis and Treatment. Tianjin Journal of Traditional Chinese Medicine, 28(6): 521–522.
Tong B, Zhang Q, Li Y, 2019, Effects of Shumian Decoction Combined with Auricular Acupressure on Cognitive Function, Sleep Quality, and Serum Serotonin and BDNF Levels in Patients with Liver-Qi Stagnation Insomnia. Hebei Journal of Traditional Chinese Medicine, 41(12): 1805–1809 + 1814.
Schaefer H, Peters PWJ, Miller RK, 2011, Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment (2nd ed). Academic Press, Oxford.
Zheng M, Xue B, Lin K, 2018, Comparative Study of Diclofenac Sodium Suppositories and Tramadol Injections for Postoperative Analgesia in Pediatric Fracture Surgery. Journal of Pediatric Pharmacy, 24(7): 13–15.