摘要
目的探讨生物反馈式的经皮电刺激在自然分娩镇痛中的应用。方法选择2014年3月至2015年3月我院收治的产妇120例,随机分为A、B、C 3组,每组各40例。A组产妇给予生物反馈式的经皮电刺激镇痛;B组产妇给予椎管内注药镇痛;C组产妇不实施镇痛干预。对3组产妇在镇痛前即刻、镇痛后1h、镇痛后2h及宫口开全时的疼痛视觉模拟评分(VAS),第一产程时间、第二产程时间、满意度及新生儿的Apgar评分进行比较。结果 1A组和B组产妇在镇痛后1h、镇痛后2h及宫口开全时的VAS评分均明显低于镇痛前即刻和C组产妇,差异具有统计学意义(P<0.05);而A组产妇在镇痛后1h、镇痛后2h及宫口开全时的VAS评分与B组产妇相比,差异无统计学意义(P>0.05)。2A组产妇的第一产程、第二产程时间均明显短于B组和C组,差异具有统计学意义(P<0.05);A组产妇的满意度明显高于B组和C组,差异具有统计学意义(P<0.05)。33组新生儿的1min Apgar评分和5min Apgar评分相比较,差异无统计学意义(P>0.05)。结论对产妇实施生物反馈式的经皮电刺激镇痛干预,可明显缩短产程,提高满意度,值得临床推广与应用。
Objective To investigate application of transcutaneous electric stimulation by biofeedback in ob‐stetrical analgesia.Methods A total of 120 cases of parturients in our hospital from March 2014 to March 2015 were randomly divided into A ,B and C group .Group A was given transcutaneous electric stimulation by biofeed‐back ,and group B was given intrathecal injection ,while group C did not perform any intervention .Labor pain VAS score ,the first stage of labor ,the second stage of labor ,degree of satisfaction and neonatal Apgar score of parturients in three groups were compared.Results ①Labor pain VAS score of parturients in group A and group B at 1 ,2 h after analgesia and full dilatation were significantly lower than those before analgesia and group C （ P〈0 .05） .There was no difference between group A and group B in labor pain VAS score of parturients at 1 h ,2 h after analgesia and full dilatation .②The first stage of labor and the second stage of labor of parturients in group A were significantly shorter than those in group B and group C （ P〈0 .05） .Degree of satisfaction of parturients in group A was significantly higher than that in group B and group C （ P〉0 .05） .③ There were no significant difference of the three groups in 1 min Apgar score and 5 min Apgar score .Conclusion Transcutaneous electric stimulation by biofeedback in obstetrical analgesia can effectively shorten birth process ,and enhance satisfaction . It is worthy of clinical application.
出处
《山西医药杂志》
CAS
2015年第18期2113-2115,共3页
Shanxi Medical Journal
基金
江苏省常州市科技卫生基金(KJ10924845)
关键词
生物反馈
经皮神经电刺激
镇痛
Biofeedback
Transcutaneous electric nerve stimulation
Analgesia
