足浴结合针灸对初产妇先兆临产后产程进展及分娩结局的影响  

Effects of lavipeditum combined with acupuncture and moxibustion on the progress of labor and delivery outcomes of primiparas after threatened labor

作　　者：蒋晖 彭广涛 陈兴财 陈双贵 李涵英 张颖 JIANG Hui;PENG Guangtao;CHEN Xingcai;CHEN Shuanggui;LI Hanying;ZHANG Ying(Dept.of Obstetrics and Gynecology,Guilin People’s Hospital,Guilin 541002,China)

机构地区：[1]桂林市人民医院妇产科,广西桂林541002

出　　处：《华夏医学》2022年第1期45-49,共5页Acta Medicinae Sinica

基　　金：桂林市科学研究与技术开发计划课题(20190218-7-12)。

摘　　要：目的:分析足浴结合针灸对初产妇先兆临产后产程进展及分娩结局的影响。方法:选择206例初产妇作为研究对象,随机分为对照组和观察组,各103例。对照组在先兆临产后采取足浴,观察组在对照组的基础上,加用针灸治疗。比较两组产程、催产素用量、出血量、新生儿Apgar评分、分娩方式、不同时间点视觉模拟量表(VAS)评分、并发症发生情况。结果:观察组第一产程、第二产程及总产程时间均短于对照组,差异均有统计学意义(P<0.05);观察组催产素用量、产后2 h出血量、24 h出血量均少于对照组,差异均有统计学意义(P<0.05);两组新生儿娩出后1 min、5 min的Apgar评分比较,差异均无统计学意义(P>0.05);观察组剖宫产率为30.00%,低于对照组的39.77%,差异有统计学意义(P<0.05);观察组潜伏期宫口开至2 cm及3 cm的VAS评分均低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为4.44%,低于对照组的12.50%,差异有统计学意义(P<0.05)。结论:足浴结合针灸可以有效加快初产妇先兆临产后产程进展,降低分娩疼痛程度,减少并发症发生,值得临床推广应用。Objective:To analyze the effects of lavipeditum combined with acupuncture and moxibustion on the progress of labor and delivery outcomes of primiparas after threatened labor.Methods:206 primiparas were selected as research objects and randomized into the control group and observation group,with 103 cases in each group.The control group were given foot bath after threatened labor,while the observation group received acupuncture treatment on the basis of the control group.Labor,oxytocin dosage,blood loss,neonatal Apgar score,delivery mode,visual analog scale(VAS)score at different time points and complications were compared between the two groups.Results:The time of the first stage of labor,the second stage and the total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);the amount of oxytocin,postpartum 2 h and 24 h blood loss in the observation group were all lower than those in the control group,with statistical significance(P<0.05);there was no significant difference in Apgar score at 1 min and 5 min after delivery between the two groups(P>0.05);the cesarean section rate in the observation group was 30.00%,lower than 39.77%in the control group,which was of statistically significance(P<0.05);VAS score of the incubation period from uterine orifice opening to 2 cm and 3 cm in the observation group was lower than that in the control group,which was with statistical significance(P<0.05);and the complication rate in the observation group was 4.44%,lower than 12.50%in the control group,whose difference was statistically different(P<0.05).Conclusion:Foot bath combined with acupuncture and moxibustion can effectively shorten the labor progress after threatened labor,reduce the degree of labor pain and complications,which is worthy of clinical application.

关 键 词：初产妇 先兆临产 足浴 针灸 产程进展 分娩结局 

分 类 号：R714[医药卫生—妇产科学]