针刺联合硬膜外阻滞在分娩镇痛中的应用及安全性分析  

Application of acupuncture combined with epidural analgesia in labor analgesia and its safety analysis

作　　者：徐梅 李春岩 Xu Mei;Li Chunyan(Department of Obstetrics,Qingdao Hospital Affiliated to Taishan Medical University,Qingdao 266109)

机构地区：[1]泰山医学院附属青岛医院产科,青岛266109 [2]山东省青岛市城阳人民医院麻醉手术科,青岛266000

出　　处：《陕西中医》2018年第10期1473-1475,共3页Shaanxi Journal of Traditional Chinese Medicine

摘　　要：目的:研究针刺联合硬膜外阻滞在分娩镇痛中的应用效果及其安全性。方法:将124例进行分娩镇痛的初产妇为研究对象,对其进行随机分组,对照组62例采用硬膜外阻滞镇痛组,研究组62例采用针刺联合硬膜外阻滞镇痛,比较两组镇痛前、镇痛后30min、1h以及产妇宫口全开VAS评分情况,并比较患者催产素用量、镇痛用药量、分娩结局、新生儿Apgar评分情况。结果:两组患者各时间点VAS评分、分娩结局、新生儿Apgar评分差异无统计学意义(P>0.05),对照组硬膜外镇痛用药量为(21.2±6.4)ml高于研究组镇痛用药(17.1±4.3)ml;对照组催产素用量为(22.7±1.8)U,高于研究组的(20.1±5.2)U。结论:针刺联合硬膜外阻滞应用于分娩镇痛,可减少镇痛药物和催产组的用量,安全性和镇痛有效性均较好。Objective： To study the effect and safety of acupuncture combined with epidural analgesia in labor analgesia. Methods： A total of 124 cases of labor-induced analgesia were randomly divided into two groups. 62 cases in the control group were treated with epidural block analgesia. Sixty-two patients were treated with acupuncture combined with epidural analgesia to compare their VAS scores before analgesia,30 minutes after analgesia,and 1 hour after analgesia,and compared the amount of oxytocin and analgesic dose. Delivery outcomes,newborn Apgar scores. Results： There was no significant difference in VAS scores,delivery outcomes,and neonatal Apgar scores at each time point between the two groups （ P 〉0.05）. The control group had （21.2±6.4） ml of epidural analgesia over the study group. Pain medication （17.1±4.3） ml; control group oxytocin dosage （22.7±1.8） U,higher than the study group （20.1±5.2） U. Conclusion： Acupuncture combined with epidural anesthesia for labor analgesia can reduce the amount of analgesic drugs and oxytocin administration groups,and has better safety and analgesic efficacy.

关 键 词：分娩/针刺疗法 疼痛 穴 合谷 穴 三阴交 

分 类 号：R246.2[医药卫生—针灸推拿学]