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Acupoint Injection Decreases Anesthetic Cosumption during Combined Spinal-Epidural and Patient-Controlled Epidural Labor Analgesia

  • Acupuncture Research
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objective

To explore if acupoint injection can improve analgesic effects or delivery outcomes in parturients who received combined spinal-epidural analgesia (CSEA) and patient-controlled epidural analgesia (PCEA) for labor analgesia.

Methods

A total of 307 participants were prospectively collected from July 2017 to December 2019. The participants were randomized into the combined acupoint injection with CSEA plus PCEA group (AICP group, n=168) and CSEA plus PCEA group (CP group, n=139) for labor analgesia using a random number table. Both groups received CSEA plus PCEA at cervical dilation 3 cm during labor process, and parturients of the AICP group were implemented acupoint injection for which bilateral acupoint of Zusanli (ST 36) and Sanyinjiao (SP 6) were selected in addition. The primary outcome was Visual Analogue Scale (VAS) score, and the secondary outcomes were obstetric outcomes and requirement of anesthetics doses. Safety evaluations were performed after intervention.

Results

The VAS scores were significantly lower in the AICP group than in the CP group at 10, 30, 60, and 120 min after labor analgesia (all P<0.05). The latent phase of the AICP group was shorter than that of the CP group (P<0.05). There were less additional anesthetics consumption, lower incidences of uterine atony, fever, pruritus and urinary retention in the AICP group than those in the CP group (all P<0.05).

Conclusion

Acupoint injection combined CSEA plus PCEA for labor analgesia can decrease the anesthetic consumption, improve analgesic quality, and reduce adverse reactions in the parturients. (Registration No. ChiMCTR-2000003120)

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Acknowledgement

We would like to thank all the parturients who participated in this study.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, China

    Min-li Huang, Chang-ping Fang, Hai-yan Zhao, Zi-jing Zhang, Shu-zhen Wu &  Ling-ling Wu

  2. Medical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China

    Wei Yi

  3. Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China

    Shang-rong Li

Authors
  1. Min-li Huang
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  2. Chang-ping Fang
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  3. Hai-yan Zhao
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  4. Zi-jing Zhang
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  5. Shu-zhen Wu
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  6. Wei Yi
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  7. Shang-rong Li
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  8. Ling-ling Wu
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Contributions

Huang ML and Fang CP: data collection, data analysis, manuscript writing and editing. Zhao HY and Zhang ZJ: data collection. Wu SZ: data analysis. Yi W and Li SR: project development. Wu LL: protocol and project development, administration of the project.

Corresponding author

Correspondence to Ling-ling Wu.

Ethics declarations

The authors declare that they have no conflict of interest.

Additional information

Supported by the Guangdong Science and Technology Department of China (No. 2016A020226051)

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Huang, Ml., Fang, Cp., Zhao, Hy. et al. Acupoint Injection Decreases Anesthetic Cosumption during Combined Spinal-Epidural and Patient-Controlled Epidural Labor Analgesia. Chin. J. Integr. Med. 28, 257–262 (2022). https://doi.org/10.1007/s11655-021-3501-8

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  • DOI: https://doi.org/10.1007/s11655-021-3501-8

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