제왕절개 수술 후 통증의 침 치료에 관한 무작위대조군 연구 고찰

Abstract

Objectives: The purpose of this study was to review recent randomized controlled trials of acupuncture for postoperative pain after cesarean section and to recognize the effectiveness of acupuncture. Methods: A search was conducted on October 15, 2024, using seven databases, including MEDLINE/Pubmed, Excerpta Medica dataBASE (EMBASE), Cochrane Library, China National Knowledge Infrastructure (CNKI), WanFang Data, Citation Information by NII (CiNII), Science ON, Koreanstudies Information Service System (KISS), KMBASE, KoreaMed. ‘caesarean section', ‘c-section', ‘postcesarean section', ‘acupuncture', ‘pharmacopuncture', ‘electroacupuncture', ‘acup*', ‘dry needling', ‘needl*' were included as a search keyword. We analyzed randomized controlled trials using acupuncture for postpartum pain in women after cesarean section. Results: A total of 7 RCT studies were selected. All 7 studies used acupuncture as an intervention, and general acupuncture, electroacupuncture, and intradermal acupuncture were used. Acupuncture was used as a sole intervention in 4 studies, and acupuncture was used in combination with patient-controlled analgesia. SP6 was the most commonly used acupuncture point, followed by ST36 and LI4. VAS was the most commonly used pain assessment scale, and pain was significantly relieved in all studies. Studies that investigated the incidence of adverse reactions, recovery status, and satisfaction tended to show significant results in the control group. Conclusions: This review shows that acupuncture is effective in reducing pain in postpartum women with post-cesarean section pain. However the number of included studies was small and the type of acupuncture was limited, so better designed studies are needed to increase the level of evidence.