揿针联合硬膜外分娩镇痛对产后抑郁症的影响研究  

Study on Effects of Thumb-Tack Needle for Subcutaneous Embedding Combined with Epidural Labor Analgesia on Postpartum Depression

作　　者：温洪樱[1] 李秋霞[1] WEN Hongying;LI Qiuxia(Shenzhen Traditional Chinese Medicine Hospital,Shenzhen Guangdong 518000,China)

机构地区：[1]深圳市中医院,广东深圳518000

出　　处：《新中医》2024年第9期161-164,共4页New Chinese Medicine

摘　　要：目的:观察揿针联合硬膜外分娩镇痛对产后抑郁症(PPD)的影响。方法:选取110例初产妇为研究对象,按随机数字表法分为观察组和对照组各55例。对照组给予硬膜外分娩镇痛,观察组给予揿针联合硬膜外分娩镇痛。比较2组产妇治疗前后疼痛视觉模拟评分法(VAS)评分、爱丁堡产后抑郁量表(EPDS)评分及血清β-内啡肽(β-EP)、谷氨酸(Glu)水平,并比较2组产妇分娩方式、新生儿1 min Apgar评分及产妇PPD发生率。结果:宫口开4、6、8、10 cm时,2组VAS评分降低(P<0.05),且各时间点观察组均低于对照组(P<0.05)。宫口开10 cm时,2组血清β-EP水平升高(P<0.05),且观察组高于对照组(P<0.05);观察组血清Glu水平降低(P<0.05),对照组血清Glu水平升高(P<0.05),且观察组低于对照组(P<0.05)。2组分娩方式、新生儿1minApgar评分比较,差异均无统计学意义(P>0.05)。产后42d,2组EPDS评分升高(P<0.05),但观察组低于对照组(P<0.05)。产后42 d,观察组PPD发生率低于对照组(P<0.05)。结论:揿针联合硬膜外分娩镇痛可降低产妇PPD发生率,其机制可能与缓解分娩疼痛、调节神经递质释放有关。Objective:To observe the effects of the therapy of thumb-tack needle for subcutaneous embedding combined with epidural labor analgesia on postpartum depression(PPD).Methods:A total of 110 primiparas were selected as the study objects and divided into the observation group and the control group according to the random number table method,with 55 cases in each group.The control group was given epidural labor analgesia for treatment,and the observation group was treated with thumb-tack needle for subcutaneous embedding combined with epidural labor analgesia.The scores of Visual Analogue Scale(VAS)of pain and Edinburgh Postnatal Depression Scale(EPDS)and the levels of serumβ-endorphin(β-EP)and glutamic acid(Glu)before and after treatment,and the way of delivery,1-minute Apgar scores of neonates and incidence of PPD were compared between the two groups.Results:When the cervical os was dilated up to 4,6,8 and 10cm,the VAS scores in the two groups were respectively decreased(P<0.05),and the VAS score in the observation group at each time point was lower than that in the control group(P<0.05).When the cervical os was dilated to 10cm,the serumβ-EP levels in the two groups were increased(P<0.05),and the serumβ-EP level in the observation group was higher than that in the control group (P<0.05);the serum Glu level in the observation group was decreased (P<0.05),theserum Glu level in the control group was increased (P<0.05), and the serum Glu level in the observationgroup was lower than that in the control group (P<0.05). There was no significant difference being found inthe comparison of way of delivery and 1-minute Apgar score of neonates between the two groups (P>0.05). After 42 days of postpartum,the EPDS scores in the two groups were increased (P<0.05),and theEPDS score in the observation group was lower than that in the control group (P<0.05). After 42 days ofpostpartum, the incidence of PPD in the observation group was lower than that in the control group (P<0.05). Conclusion:The therapy of thumb-tack needle for s

关 键 词：产后抑郁症 揿针 硬膜外分娩镇痛 视觉模拟评分法评分 爱丁堡产后抑郁量表评分 

分 类 号：R714.3[医药卫生—妇产科学]