摘要
目的分析腕踝针对产妇分娩镇痛中爆发痛的效果。方法按随机数字表法将2023年1月—2023年9月江西省妇幼保健院收治的60例初产妇分为对照组和观察组,每组30例。产妇出现爆发痛后,对照组予以罗哌卡因镇痛,观察组在对照组基础上联用腕踝针镇痛。比较2组疼痛程度、心率、平均动脉压、疼痛介质指标、产程时间、不良反应发生情况。结果观察组镇痛30 min、60 min后视觉模拟评分法(VAS)评分均低于对照组(P<0.05)。观察组镇痛60 min后心率、平均动脉压均低于对照组(P<0.05)。观察组镇痛60 min后β-内啡肽浓度高于对照组,5-羟色胺浓度低于对照组(P<0.05)。2组各产程及不良反应发生率对比,差异无统计学意义(P>0.05)。结论腕踝针应用于产妇分娩镇痛中爆发痛效果确切,利于减轻产妇疼痛感、改善心率和平均动脉压,不会对产程造成影响,安全可靠,值得推广应用。
Objective To analyze the effect of wrist ankle targeted pain relief in postpartum women.Methods Sixty postpartum women admitted to Jiangxi Maternal and Child Health Hospital from January 2023 to September 2023 were divided into a control group and an observation group using a random number table method,with 30 cases in each group.After the postpartum women experienced an outbreak of pain,the control group was given ropivacaine analgesia.The observation group received combined wrist ankle acupuncture analgesia on the basis of the control group.The degree of pain,heart rate,mean arterial pressure,pain mediator indicators,labor process time,and incidence of adverse reactions between two groups was compared.Results The Visual Analogue Scale(VAS)scores at 30 and 60 minutes post⁃analgesia in the observation group were significantly lower than those in the control group(P<0.05).Furthermore,the heart rate and mean arterial pressure of the observation group were notably lower than those of the control group after 60 minutes of analgesia(P<0.05).Additionally,following 60 minutes of analgesia,the concentration ofβ⁃endorphin in the observation group was higher while the concentration of 5⁃hydroxytryptamine was lower compared to that in the control group(P<0.05).There were no statistically significant differences observed in terms of labor duration and incidence of adverse reactions between both groups(P>0.05).Conclusion The application of wrist ankle acupuncture in postpartum analgesia has a definite effect on relieving pain,improving heart rate and mean arterial pressure,without affecting the labor process.It is safe and reliable,and is worth promoting and applying.
作者
陈蒙蒙
邓智连
彭永保
CHEN Mengmeng;DENG Zhilian;PENG Yongbao(Anesthesia Department,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330006,China)
出处
《光明中医》
2024年第15期3082-3085,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
江西省中医药管理局科技计划项目(No.2023B0188)。
关键词
下腹痛
分娩镇痛
爆发痛
腕踝针疗法
lower abdominal pain
labor analgesia
bursting pain
wrist ankle needle
