摘要
目的：观察穴位贴压对临产初产妇在分娩过程中缓解分娩疼痛的临床效应。方法：将120例初产妇随机分为观察组（60例）和对照组（60例）。观察组选取双侧合谷、三阴交、太冲、内关、次掺和中移穴，于宫口大小为2～3cm时进行穴位贴压；对照组不给予穴位贴压。在产妇宫口大小为2～3cm、5～6cm、7～8cm、9～10cm时．各评定1次疼痛反应级别（包括医生镇痛评分、产妇镇痛自评分），比较缓解两组产妇分娩疼痛的差异，并比较两组产妇第一、二、三产程和总产程时间及剖宫产率。结果：（1）镇痛效果：在宫口大小为2～3cm、5～6cm、7～8cm、9～10cm时，观察组在各时间点上产妇镇痛自评分均明显低于对照组（均P〈0．05）；观察组医生镇痛评分镇痛有效为213人次，无效为18人次，对照组有效178人次，无效44人次，观察组镇痛效果优于对照组（P〈0．05）。（2）产程：两组第二产程和第三产程的时间比较差异无统计学意义（均P〉0．05）。观察组第一产程和总产程的时间明显短于对照组1（8．07±2．08）hVS（9．58±2．79）h，（8．91±2．80）hVS（10．51±2．83）h，均P〈0．05]。（3）剖宫产率：观察组的剖宫产率低于对照组[5．0％（3／60） vs 10．0％（6／60），P〉0．05]。结论：穴位贴压对于缓解分娩疼痛的疗效是肯定的，且可以缩短产程、控制剖宫产率。
Objective To observe the efficacy of acupoint pressure therapy on relieving labor pain in primiparas.Methods One hundred and twenty primiparas were randomized into an observation group(60cases)and a control group(60cases).In the observation group,Hegu(LI 4),Sanyinjiao(SP 6),Taichong(LR 3),Neiguan(PC 6),Ciliao(BL 32)and Zhongliao(BL 33)on bilateral sides were selected.The acupoint pressure therapy was applied when the uterine orifice was dilated to 2to 3cm.In the control group,the acupoint pressure therapy was not used.Separately,when the orifice was dilated as 2to 3cm,5to 6cm,7to 8cm and 9to 10 cm,the pain response grade was assessed(including physician's analgesia score and patient's self-evaluation score of analgesia).The in labor pain was observed and compared in the puerperas between the two groups.The time of the first,second and third stages of labor,the time of total stage of labor as well as the cesarean section rate were compared in the puerperas between the two groups.Results(1)Analgesic effect:when the uterine orifice was dilated as2 to 3cm,5to 6cm,7to 8cm and 9to 10 cm,the self-evaluation scores of analgesia in the puerperas of the observation group at each time point were all apparently lower than those in the control groups(all P<0.05).In the observation group,for the physician's analgesia score,213 person-times presented analgesic effect and18person-times no effect.In the control group,178person-times presented analgesic effect and 44person-times no effect.The analgesic effect in the observation group was better than that in the control group(P <0.05).(2)Stages of labor:the differences in the second and third stages of labor were not significant statistically between the two groups(both P>0.05).The time of the first stage of labor and the time of the total stages of labor in the observation group were shorter appa-rently than those in the control group[(8.07±2.08)h vs(9.58±2.79)h,(8.91±2.80)h vs(10.51±2.83)h,both P<0.05].(3)Cesarean section rate:the cesarean section rate in the observation grou
出处
《中国针灸》
CAS
CSCD
北大核心
2016年第12期1243-1246,共4页
Chinese Acupuncture & Moxibustion
关键词
分娩镇痛
穴位贴压
产程
labor analgesia
acupoint pressure
stages of labor
