变频体表电刺激超前镇痛联合穴位注射用于分娩的临床效果及评价  

Clinical effect and evaluation of frequency- conversion surface electrical stimulation advance analgesia combined with acupuncture point injection used for labor

作　　者：武永生[1] 王俐红[2] 姚远[1] 李东红[2] 韩丽[1] 朱红霞[1] 苏心镜[1] 

机构地区：[1]河北北方学院附属第二医院麻醉科,河北宣化075100 [2]河北北方学院附属第二医院妇产科

出　　处：《中国妇幼保健》2015年第28期4896-4899,共4页Maternal and Child Health Care of China

基　　金：河北省张家口市科学技术与发展指导项目〔1321054D〕

摘　　要：目的探讨变频体表电刺激超前镇痛联合芬太尼与氟哌利多混合液(下称芬氟合剂)穴位注射用于分娩镇痛的临床效果及对产程、自然分娩率、新生儿的影响。方法将80例足月单胎且无妊娠合并症的产妇,按分娩顺序随机分为2组,每组40例。A组为变频体表电刺激联合芬氟合剂穴位注射组;B组为芬氟合剂穴位(次髎穴)注射组;另选择同期不愿接受镇痛措施的产妇40例作为对照组(C组)。3组产妇均采用视觉模拟评分法(VAS)评价镇痛效果,观察产程、新生儿Apgar评分及自然分娩率。结果 A组各时段VAS评分均低于B组和C组(P<0.05);B组低于C组(P<0.05)。3组产妇产程及新生儿Apgar评分差异无统计学意义(P>0.05);自然分娩率A组、B组高于C组(P<0.05)。结论变频体表电刺激联合芬氟合剂穴位注射用于分娩镇痛效果可靠,能满足全产程的镇痛需求,提高了自然分娩率,对产程及新生儿无不良影响。Objective： To explore the clinical effect of frequency-conversion surface electrical stimulation advance analgesia com- bined with acupuncture point injection of fentanyl and droperidol used for labor analgesia and its impact on the course of labor, spontaneous birth rate, and neonates. Methods： Eighty full-term parturient women （ single birth and without pregnancy complications） were randomly divided into two groups according to the sequence of labor, 40 women in each group; the women in group A were treated by frequency-conversion surface electrical stimulation advance analgesia combined with acupuncture point injection of fentanyl and droperidol, while the women in group B were treated by ＇Ciliao acupuncture point injection of fentanyl and droperidol ; forty parturient women not receiving labor analgesia during the same period were selected as control group （group C） . The analgesic effects in the three groups were evaluated by visual analogue scale （VAS） ; the courses of labor, neonatal Apgar scores, and the rates of spontaneous birth in the three groups were observed. Results： VAS scores during different time periods in group A were statistically significantly lower than those in group B and group C （P〈 0. 05 ） ; VAS scores during different time periods in group B was statistically significantly lower than that in group C （ P〈0. 05 ） . There was no statistically significant difference in the course of labor and neonatal Apgar score among the three groups （ P〉0. 05 ） ; the rates of spontaneous birth in group A and group B were statistically significantly higher than that in group C （P〈0. 05 ） . Conclusion： The clinical effect of frequency-conversion surface electrical stimulation advance analgesia combined with acupuncture point injection of fentanyl and droperidol used for labor analgesia is reliable, which can satisfy the need of whole labor analgesia, improve the rate of spontaneous birth, and have no adverse impact on the course of labor and neonates.

关 键 词：分娩镇痛 体表电刺激 穴位注射 视觉模拟评分 产程 自然分娩率 新生儿评分 

分 类 号：R714[医药卫生—妇产科学]