针刺镇痛在体外精—胚胎移植经阴道超声穿刺取卵术中的应用.pdfVIP

Application of Acupuncture Anesthesia in IVF-ET Transvaginal Ultrasound-guided Oocyte Retrieval Speciality: Gynecology of TCM，the Study of Female Sterility Author: Wang Xiaohua Tutor Associate Professor Zhang Jianwei : Abstract Objective: To observe the analgesic effect and safety of acupuncture in transvaginal ultrasound-guided oocyte retrieval. Methods: 90 cases undergoing in vitro fertilization and embryo transfer (IVF-ET) were randomly allocated to acupuncture anesthesia （AA ） group ，polacebo-needle （PN ） group and control group. They received respectively Hegu-punctered with the even manipulation, treatment by palacebo-needle and conventional oocyte retrieval operation. Record the PRI,WAS and PPI scores during and after the oocyte retrieval of patients.Observe the side effects during the oocyte retrienval.Test the level of NPY in the follicular fluid obtained from the oocyte retrienval.Record and compare numbers of oocyte retrieved, fertilization rates, cleavage rates and clinical pregnancy rates between three groups. Results: (1)The PRI,WAS and PPI scores during and 1h after the oocyte retrieval in the AA group were obviously lower than that in the control group(P0.01).And the PRI,WAS and PPI scores during and 1h after the oocyte retrieval in the PN group were lower than that in the control group,but there was no significant difference(P0.05).(2)The time spended by operation had no correlation with pain.Each kind of the pain scores of patients whose uterus were crossed by the needle for purcture was obviously higher than that of pastients whose uterus were not crossed (P0.01).(3)The side effects during the oocyte ret