经皮穴位电刺激用于分娩镇痛的临床效果观察  

Clinical effect observation for the treatment of transcutaneous acupoint electrical stimulation for labor analgesia

作　　者：林少英[1] 任利容 Lin Shaoying;Ren Lirong(Bao’an Hospital of Traditional Chinese Medicine,Shenzhen,Guangdong 518000,China)

机构地区：[1]深圳市宝安区中医院,广东深圳518000

出　　处：《医药前沿》2020年第16期28-30,共3页Journal of Frontiers of Medicine

基　　金：广东省深圳市宝安区医疗卫生基础研究项目,项目编号2019JD326。

摘　　要：目的:观察经皮穴位电刺激用于分娩镇痛的临床疗效及安全性。方法:收集2019年1月-9月在我院产科住院的自然分娩待产妇80例,采用随机方法将产妇分成试验组(n=40)和对照组(n=40)。试验组予全产程经皮穴位电刺激双侧足三里、合谷、三阴交,对照组予全产程椎管内阻滞麻醉,两组产妇产程中均接受助产指导,分别记录干预前1h、干预后1h、宫口开全时及胎儿娩出时的疼痛评分,记录最终分娩方式、自然分娩产妇各产程时间、分娩过程及产后的出血量,记录新生儿1min、5min、10min的Apgar评分,从而比较两组的分娩镇痛效果和安全性。结果:治疗后,试验组有1例因第二产程停滞行剖宫产术,对照组有2例因第二产程停滞、1例因胎儿窘迫行急诊剖宫产术。两组干预前1h及干预后1h产妇VAS疼痛评分差异无统计学意义(P>0.05),宫口开全时及胎儿娩出时产妇V A S疼痛评分试验组低于对照组,差异显著(P<0.05);第二、三产程时间试验组与对照组比较差异无统计学意义(P>0.05),第一产程时间试验组短于对照组,差异显著(P<0.05);试验组分娩过程出血量低于对照组,差异显著(P<0.05),两组产后出血量及新生儿Apgar评分差异无统计学意义(P>0.05)。结论:全产程经皮穴位电刺激可用于临床分娩镇痛,缩短第一产程时间,减少分娩过程出血量。Objective To observe the clinical effects of transcutaneous acupoint electrical stimulation for labor analgesia.Methods 80 patients with natural labor awaiting delivery were collected from inpatient departments of obstetrics and massage from January 2019 to September 2019.The patients were divided into the observation group(n=40)and the control group(n=40)randomly generated by computer.2 patients were shed in the observation group,and 3 patients were shed in the control group.The observation group was given transcutaneous acupoint electrical stimulation of bilateral Zusanli,Hegu,Sanyinjiao for labor analgesia,while the control group was given the treatment of intraspinal block anesthesia.Both groups of mothers receive midwifery guidance during labor.The VAS pain score of the two groups were observed and noted 1 hour before the intervention,1hour after the intervention,at complete cervical dilation,and at disengagement.Record the final mode of delivery,the total time of delivery,and the amount of bleeding during and after delivery.The Apgar score at 1 min,5 min and 10 min after the disengagement were also observed.Results After treatment,1 patient in the observation group underwent cesarean section because of the second stage of labor.In the control group,2 patients were arrested due to the second stage of labor,and 1 patient underwent emergency cesarean section due to fetal distress.Conclusion There was no significant difference in the VAS pain score between the two groups before intervention and 1 hour after intervention(P>0.05).The VAS score of observation group was lower than the control group at complete cervical dilation and disengagement(P<0.05).The first stage and total labor time of observation group was differently shorter than the control group(P<0.05)while no significant difference in the second and the third stage of labor time(P>0.05).The amount of bleeding in the observation group was lower than that in the control group(P<0.05).There was no significant difference between the two groups in postpartu

关 键 词：分娩镇痛 经皮穴位电刺激 椎管内阻滞麻醉 VAS评分 总产程时间 新生儿Apgar评分 

分 类 号：R714[医药卫生—妇产科学]