穴位压丸按摩、艾盐包热熨干预配合Lamaze呼吸减痛法在初产妇经阴道分娩中的应用  

Application of acupoint pressure pill massage and moxa-salt pack hot ironing intervention combined with Lamaze breathing pain relief method in transvaginal delivery of primiparas

作　　者：王敏[1] 李兰[1] 祝艳 WANG Min;LI Lan;ZHU Yan(Affiliated Hospital of North Sichuan Medical College Obstetrics,Nanchong Sichuan 637000,China)

机构地区：[1]川北医学院附属医院产科,四川南充637000

出　　处：《四川中医》2023年第7期212-215,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨穴位压丸按摩、艾盐包热熨干预配合拉玛泽(Lamaze)呼吸减痛法在初产妇经阴道分娩中的应用价值。方法:选取2021年10月~2022年9月本院收治的经阴道分娩的初产妇124例,按照随机数表法分为研究组与对照组各62例。研究组予以穴位压丸按摩、艾盐包热熨干预配合Lamaze呼吸减痛法,对照组予以Lamaze呼吸减痛法。比较两组产妇各产程分娩疼痛程度[视觉模拟评分法(VAS)]、各产程时间、分娩舒适度[舒适状况量表(GCQ)]以及两组新生儿窒息情况[动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))、pH值、1min Apgar评分]。结果:研究组产妇各产程VAS评分、各产程时间以及新生儿PaCO_(2)水平均低于对照组,差异具有统计学意义(P<0.05);研究组产妇GCQ生理评分、GCQ心理评分及新生儿PaO_(2)水平、pH值、1min Apgar评分均高于对照组,差异具有统计学意义(P<0.05)。结论:穴位压丸按摩、艾盐包热熨干预配合Lamaze呼吸减痛法能有效减轻经阴道分娩的初产妇分娩疼痛并缩短产程时间,提高产妇分娩舒适度,利于降低新生儿窒息风险。Objective To explore the application value of acupoint pressure pill massage,moxa-saltpack hot ironing intervention combined with Lamaze breathing pain relief method in primiparas with transvaginal delivery.Methods 124primiparas with transvaginal delivery who were treated in the hospital from October 2021to September 2022were selected and divided into study group and control group according to the random number table method,with 62cases in each group.The study group was given acupoint pressure pill massage,moxa-salt pack hot ironing intervention combined with Lamaze breathing pain relief method,and the control group was given Lamaze breathing pain relief method.The pain degree of each stage of labor[Visual Analogue Scale(VAS)],the time of each stage of labor,comfort level of delivery[General Comfort Questionnaire(GCQ)]and neonatal asphyxia[arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),pH value,1min Apgar score]were compared between the two groups.Results The VAS score of each stage of labor and the time of each stage of labor of puerperae and the level of PaCO_(2) of neonates in study group were lower or shorter than those in control group(P<0.05).The GCQ physiology score and GCQ psychology score of puerperae and PaO_(2) level,pH value and 1min Apgar score of neonates were higher in study group than those in control group(P<0.05).Conclusion Acupoint pressure pill massage,moxa-salt pack hot ironing intervention combined with Lamaze breathing pain relief method can effectively relieve the delivery pain and shorten the duration of labor of primiparas with transvaginal delivery,enhance the maternal comfort,and help reduce the risk of neonatal asphyxia.

关 键 词：穴位压丸按摩 艾盐包热熨 拉玛泽呼吸减痛法 初产妇 经阴道分娩 

分 类 号：R248.3[医药卫生—中医临床基础]