摘要
目的观察耳穴贴压法应用于潜伏期分娩镇痛的临床镇痛效果,并探讨其对产妇不同时点血浆中促肾上腺皮质激素(ACTH)的影响。方法选择2016年1月—6月拟在我院行阴道分娩的足月初产妇80例为研究对象,按照随机数字法将产妇分为观察组与对照组,每组40例。观察组潜伏期行耳穴贴压法镇痛,对照组潜伏期采用传统分娩方式,所有产妇进入活跃期后均采用硬膜外分娩镇痛至分娩结束。于不同时点取产妇前臂肘静脉血2m L,采用酶联免疫分析法一次性成批对上述标本ACTH水平进行检测。结果观察组贴穴即刻、贴穴后30 min、贴穴后90 min、活跃期行硬外镇痛诱导即刻、胎儿娩出后及胎儿娩出后24 h各时点ACTH浓度分别为(44.1±5.1)、(52.6±5.6)、(53.6±4.3)、(50.1±3.9)、(46.3±4.6)、(40.1±5.0)Pmol/L,对照组对应时点则分别为(50.2±5.3)、(63.2±4.6)、(68.2±6.3)、(58.2±5.1)、(56.7±4.9)、(50.2±4.5)Pmol/L,观察组相应时点ACTH水平明显低于对照组,差异均有统计学意义(P<0.05);对照组胎儿娩出后24 h的ACTH浓度水平明显高于分娩前(P<0.05)。结论耳穴贴压法用于潜伏期分娩,可以减少产妇在分娩过程的应激反应,镇痛效果满意。
Objective To investigate the analgesic effect of auricular point plaster therapy for labor analgesia at laent phase and explore its effect on ACTH at different time points. Methods 80 full - term vaginal delivery primiparas in our hospital from January to June in 2016 were divided into observation group and control group according to the random digit table, 40 in each group. The observation group were treated with auricular point plaster therapy on labor analgesia at latent phase, while the control group the traditional mode of delivery. All of the subjects received epidural labor analgesia till the end of delivery after entering the active phase. 2ml blood from maternal elbow vein of forearm was collected at different time points. The ACTH levels of the one batch disposable specimens were detected by ELISA. Results In the observation group the ACTH （Pmol /L） levels were （44. 1 ± 5. 1） , （52. 6 ± 5. 6） , （53. 6 ± 4. 3 ） , （50. 1 ± 3.9） , （46. 3 ± 4.6） and （40. 1 ±5. 0） at different time point just after primipara auricular point plaster therapy, 30 minutes and 90 minutes after the plaster therapy, during the active period for induced epidural analgesia, just after delivery of fetus and 24 hours after delivery,respectively and in the control group the levels were （ 50. 2 ± 5. 3 ）,（ 63. 2 ± 4. 6 ）,（ 68. 2 ± 6. 3 ）,（ 58. 2 ± 5. 1 ）, （56. 7 ±4. 9） and （50. 2 ±4. 5） at the corresponding time points. The levels of the observation group at each time point were significantly lower than that of the control group （ P 〈 0. 05 ）. The ACTH level was significantly higher 24 hours after delivery of fetus than that before delivery in the control group （ P 〈 0. 05 ） . Conclusion Auricular point plaster therapy on labor analgesia at latent phase can reduce maternal stress response in the delivery process and the analgesic effect is satisfactory.
出处
《现代医院》
2017年第9期1381-1383,共3页
Modern Hospitals
基金
广东省中医药局建设中医药强省立项资助科研课题(编号:20152023)
