摘要
目的探讨音乐疗法联合经皮穴位电刺激在初产妇分娩中的临床应用价值。方法选择2017-10 至2018-04 在重庆医科大学附属第一医院产科住院的120 例足月单胎头位、无阴道分娩禁忌证并要求音乐疗法联合经皮穴位电刺激分娩的初产妇为观察组,同期住院的150 例单胎头位无阴道分娩禁忌证的初产妇为对照组,对比分析两组分娩过程的视觉模拟评分法(visual analogue scale,VAS)、分娩前后抑郁自评量表(self-rating depression scale,SDS)及焦虑自评量表(self-ratinganxiety scale,SAS)评分,新生儿窒息情况、总产程的时间、产后出血量、产妇对护理的满意度。结果观察组产妇分娩过程(潜伏期、活跃期、第二产程)的VAS 评分均显著低于对照组,对比差异有统计学意义(P<0.05)。观察组与对照组分娩后的SDS、SAS 评分均较分娩前有所缓解,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组总产程和产后出血量均小于对照组,差异有统计学意义(P<0.05)。观察组的新生儿窒息率和产妇对护理的满意度都显著优于对照组,差异均具有统计学意义(P<0.05)。结论音乐疗法联合经皮穴位电刺激可降低产妇分娩过程中的疼痛感及产后抑郁及焦虑不良情绪、缩短产程、减少产后出血量及减少新生儿窒息的发生,提高产科护理满意度,保证母婴安全,具有临床推广应用价值。
Objective The objective of this study was to explore the clinical value of music therapy combined with transcutaneous electrical acupoint stimulation in the delivery of primiparas. Methods A total of 270 cases of primipara who were hospitalized in the Obstetrics Department of the First Affiliated Hospital of Chongqing Medical University between October 2017 and April 2018 were enrolled in this study. 120 cases without contraindication of head position and vaginal delivery and volunteered to use music therapy combined with transcutaneous electrical acupoint stimulation were selected as observation group. 150 cases of primipara who were hospitalized in the same period without contraindication of vaginal delivery in head position of single fetus were selected as control group. Visual analogue scale (VAS), self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores before and after delivery, neonatal asphyxia, duration of total labor, amount of postpartum hemorrhage, maternal satisfaction with nursing were compared between the two groups. Results T he VAS score of the observation group was significantly lower than that of the control group in the all process of delivery (latent period, active period, second stage of labor), and the difference was statistically significant (P<0.05). The SDS and SAS scores of the observation group and the control group after delivery were lower compared with those before delivery, and the scores in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The total stage of labor and the amount of postpartum hemorrhage in the observation group was less than that in the control group, and the difference was statistically significant (P<0.05). The neonatal asphyxia rate and maternal satisfaction towards nursing in the observation group were significantly better than those in the control group (P<0.05). Conclusions Music therapy combined with transcutaneous electric stimulation of acupoints can reduce t
作者
秦红
QIN Hong(Obstetrics Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing 401122, China)
出处
《中华灾害救援医学》
2019年第9期508-511,共4页
Chinese Journal of Disaster Medicine
关键词
音乐疗法
穴位电刺激
总产程
产后出血
新生儿窒息
music therapy
acupoint electrical stimulation
total labor
postpartum hemorrhage
neonatal asphyxia
