分娩中针刺镇痛穴位及时机的选择  

Selection of Acupoints and Opportunity for Acupuncture Analgesia in Delivery

作　　者：黄涛[1] 杨咏梅[2] 黄醒华[3] 

机构地区：[1]中国中医科学院针灸研究所,北京市100700 [2]北京宣武医院妇科 [3]首都医科大学附属北京妇产医院

出　　处：《中医杂志》2008年第7期625-628,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药科学技术研究专项中医临床研究基金资助(04-05LQ04)

摘　　要：目的观察针刺穴位分娩镇痛的效果及对母婴结局的影响。方法324例初产妇随机分为电针组82例,经皮电刺激(TENS)组82例,腰麻-硬膜外联合阻滞镇痛组(腰麻组)79例,空白组81例,并于分娩当时及产后观察疼痛VAS计分、镇痛满意度、分娩结局及β-内啡肽的改变。结果镇痛后30～120分钟VAS评分与TENS组及空白组比较,电针组镇痛效果较好,但不如腰麻组,差异有统计学意义(P<0.05)。结论电针镇痛效果好,满意度增加。镇痛效果以镇痛后30～60分钟最好,且对于产程、分娩方式、母婴结局均无负面影响,是一种安全有效的镇痛方式。Objective To observe the effect of acupuncture analgesia on delivery and observe the result of analgesia in mother and infant. Methods Totally 324 primiparae were randomized into four groups.. Electro-acupuncture group, 82 cases, transcutaneous electrical nerve stimulation （TENS） group, 82 cases, control group, 81 cases, and spinal-epidural analgesia group, 79 cases. The VAS scores of pain, degree of satisfaction of analgesia, outcome of delivery and changes of endorphin concentration were observed during the delivery and after. Results Compared with the TENS group and control group, viewing from the VAS scores of 30-120 minutes after analgesia, the effect in the electro-acupuncture group was better, but not as good as that in the spinal-epidural analgesia group, the difference was significant （P〈0. 05）. Conclusion The analgesic effect of electro-acupuncture is good with an improvement in satisfaction. The optimal analgesic effect is in the duration of 30-60 minutes with analgesia given. There is no negative influence of electro-acupuncture analgesia on birth process, mode of delivery, and result of delivery for mother and infant. It is an effective method of analgesia.

关 键 词：分娩镇痛 电针 穴位 

分 类 号：R246[医药卫生—针灸推拿学]