足浴联合针灸在促进阴道分娩过程中的临床应用  

Clinical application of foot bath combined with acupuncture and moxibustion in promoting vaginal delivery

作　　者：蒋晖 彭广涛 黄丽色 李红葵 陈兴财 陈双贵 JIANG Hui;PENG Guangtao;HUANG Lise;LI Hongkui;CHEN Xingcai;CHEN Shuanggui(Department of Gynaecology and Obstetrics,Guilin People′s Hospital,Guilin 541002,China)

机构地区：[1]桂林市人民医院妇产科,桂林541002

出　　处：《华夏医学》2024年第1期150-154,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：目的探讨足浴联合针灸在促进阴道分娩中的作用。方法以180例产妇为研究对象,采用随机数字表法将其分为足浴组、针灸组和足浴联合针灸组,每组60例。足浴组先兆临产后予足浴;针灸组临产后予针灸;足浴联合针灸组先兆临产后予足浴,临产后予针灸。比较3组镇痛效果、产程时间、剖宫产率、缩宫素使用率、器械助产率、促宫颈成熟有效率、产后出血量、新生儿Apgar评分及不良事件。结果足浴联合针灸组在镇痛效果、产后出血控制方面均优于针灸组及足浴组,总产程短于针灸组及足浴组,差异有统计学意义(P<0.05)。足浴联合针灸组的缩宫素使用率、剖宫产率低于针灸组及足浴组,促宫颈成熟有效率高于针灸组及足浴组(P<0.05)。3组的新生儿Apgar评分、不良事件发生率的差异无统计学意义(P>0.05)。结论足浴联合针灸具有更好的镇痛效果,可有效缩短产程,促进自然分娩。Objective To evaluate the effect of foot bath combined with acupuncture and moxibustion in promoting vaginal delivery.Methods 180 lying in women were randomly divided into foot bath group,acupuncture and moxibustion group and foot bath combined with acupuncture and moxibustion group,with 60 cases in each group.The foot bath group were received foot bath after threatened labor.Acupuncture and moxibustion group were given acupuncture and moxibustion after parturition.In the foot bath combined with acupuncture and moxibustion group,foot bath was given after threatened labor,and acupuncture and moxibustion was given after labor.Analgesic effect,labor process time,cesarean section rate,oxytocin use rate,instrument assisted delivery rate,effective rate of promoting cervical maturity,postpartum bleeding volume,Apgar score of newborns and incidence of adverse events were compared among the three groups.Results The foot bath combined with acupuncture and moxibustion group were better than the acupuncture and moxibustion group and foot bath group in terms of analgesia effect and postpartum hemorrhage control,and the total labor process was shorter than the acupuncture and moxibustion group and foot bath group,with a statistically significant difference(P<0.05).The use rate of oxytocin and cesarean section rate in the foot bath combined with acupuncture and moxibustion group were lower than those in the acupuncture and moxibustion group and foot bath group,and the effective rate of promoting cervical maturity was higher than those in the acupuncture and moxibustion group and foot bath group(P<0.05).There was no statistically significant difference in the Apgar score and incidence of adverse events among the three groups of newborns(P>0.05).Conclusion Foot bath combined with acupuncture and moxibustion has obvious analgesic effect,which can effectively shorten the duration of labor and promote natural childbirth.

关 键 词：先兆临产 足浴 针灸 阴道分娩 

分 类 号：R714.3[医药卫生—妇产科学]