腰部穴位注射对产妇产程的影响及其安全性评估  

Effect of lumbar acupoint injection on maternal labor and its safety assessment

作　　者：辛玉红[1] 陈盈颖 张英[3] 马存丽[1] 孙丽娟 徐倩楠[3] 张青 谢辑文 Xin Yuhong;Chen Yingying;Zhang Ying;Ma Cunli;Sun Lijuan;Xu Qianan;Zhang Qing;Xie Jiwen(Department of Obstetrics,Yuxi People's Hospital,Yuxi 653100,China;The Second Clinical Medical College of Yunnan University of Traditional Chinese Medicine,Kunming 650500,China;Department of Acupuncture and Massage,Yuxi People's Hospital,Yuxi 653100,China;Yunnan Vocational College of Special Education,Kunming 650500,China)

机构地区：[1]玉溪市人民医院产科,云南玉溪653100 [2]云南中医药大学第二临床医学院,云南昆明650500 [3]玉溪市人民医院针灸推拿科,云南玉溪653100 [4]云南特殊教育职业学院,云南昆明650500

出　　处：《实用妇科内分泌电子杂志》2022年第12期37-40,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的观察腰部穴位注射利多卡因调配液促分娩法对产妇产程的影响,及是否会对产妇及新生儿造成危害。方法选取400例待分娩孕妇,根据随机数字表法将其分为试验组与对照组,每组200例。试验组给予腰部穴位注射利多卡因调配液,对照组除不给予腰部穴位注射以外,其余产科管理措施均与试验组一致。比较两组分娩方式、产程时间、产后2 h出血量、产后宫颈裂伤率、产后会阴撕裂、羊水粪染情况及新生儿Apgar评分。结果试验组经阴道分娩181例,剖宫产19例,对照组经阴道分娩177例,剖宫产23例,两组分娩方式比较,差异无统计学意义(P>0.05)。试验组第一产程、总产程时间均显著短于对照组,差异有统计学意义(P<0.05),第二、三产程时间与对照组比较,差异无统计学意义(P>0.05)。两组产后宫颈裂伤率比较,差异有统计学意义(P<0.05)。两组产后2 h出血量比较,差异无统计学意义(P>0.05),会阴撕裂I度及以上、羊水粪染及新生儿评分>7分占比比较,差异无统计学意义(P>0.05)。结论在产妇腰部穴位注射利多卡因调配液可以显著缩短产程时间,且对产妇及新生儿均无不良影响,具有较高安全性,值得临床推广与应用。Objective To observe the effect of lumbar acupoint injection of lidocaine solution to promote labor on maternal labor and whether it would cause harm to the mother and the newborn.Methods 400 pregnant women were selected and divided into experimental group and control group according to the random number table method,with 200 cases in each group.The experimental group was given lidocaine mixture at the waist point,and the control group was given no intradermal injection of the waist,and the other obstetric management measures were consistent with the experimental group.The mode of delivery,labor time,postpartum 2 h blood loss,postpartum cervical laceration rate,postpartum perineal tear,amniotic fluid fecal staining and neonatal Apgar score were compared between the two groups.Results There were 181 cases of vaginal delivery and 19 cases of cesarean section in the experimental group,and 177 cases of vaginal delivery and 23 cases of cesarean section in the control group.There was no significant difference in delivery mode between the two groups(P>0.05).The first stage of labor and the total stage of labor in the experimental group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the second stage of labor and the third stage of labor between the experimental group and the control group(P>0.05).There was a significant difierence in the rate of cervical laceration between the two groups(P<0.05).There was no significant difference in the amount of blood loss at2 h after delivery between the two groups(P>0.05),and there was no significant difference in the proportion of perineal tears of degree I or above,fecal staining of amniotic fluid and neonatal score>7(P>0.05).Conclusion The injection of lidocaine at the waist point of puerpera can significantly shorten the time of labor,and has no adverse effect on puerpera and newborn,which has high safety and is worthy of clinical promotion and application.

关 键 词：产妇 穴位注射 产程 分娩镇痛 宫颈裂伤 

分 类 号：R246.3[医药卫生—针灸推拿学]