分析经皮穴位电刺激对剖宫产产妇睡眠质量及产后抑郁的影响  

Analysis of the Effect of Transcutaneous Electrical Acupoint Simulation on Sleep Quality and Postpartum Depression in Cesarean Section Women

作　　者：黄秋香 陈丽萍 谢秀容 林巧丽 HUANG Qiuxiang;CHEN Liping;XIE Xiurong;LIN Qiaoli(Department of Obstetrics,Quanzhou First Hospital,Quanzhou 362000,China;Department of Obstetrics,Xiamen Maternal and Child Health Hospital,Xiamen 361001,China)

机构地区：[1]泉州市第一医院,泉州362000 [2]厦门市妇幼保健院产科,厦门361001

出　　处：《世界睡眠医学杂志》2024年第11期2442-2445,共4页World Journal of Sleep Medicine

摘　　要：目的:分析经皮穴位电刺激(TEAS)对剖宫产产妇睡眠质量、产后抑郁的影响。方法:选取2023年2月至2024年3月泉州市第一医院产科收治的剖宫产产妇96例为研究对象,按照随机数字表法分为对照组和观察组,每组48例,2组均在腰硬联合麻醉下行剖宫产术治疗,对照组给予常规围手术期护理干预,观察组给予经皮穴位电刺激。采用匹兹堡睡眠质量指数(PSQI)比较2组干预前后睡眠质量的变化及睡眠障碍发生率,采用汉密尔顿抑郁量表(HAMD)比较2组干预前后抑郁状态的改善效果,采用爱丁堡产后抑郁量表(EPDS)比较2组干预前后产后抑郁状态的改善效果,比较2组不良反应发生率。结果:干预后,观察组产妇产后PSQI评分显著低于对照组,观察组42 d的HAMD量表评分、EPDS量表评分均显著低于对照组,差异均有统计学意义(均P<0.05);观察组不良反应发生率与对照组相当(P>0.05)。结论:经皮穴位电刺激可有效提升剖宫产产妇的睡眠质量,降低产后抑郁发生风险,安全性好,值得临床推广应用。Objective:To analyze the effects of transcutaneous electrical acupoint stimulation(TEAS)on sleep quality and postpartum depression in cesarean section women.Methods:A total of 96 parturients who underwent cesarean section in the obstetrics department of Quanzhou First Hospital from February 2023 to March 2024 were selected as study subjects.They were randomly divided into a control group(n=48)and an observation group(n=48)according to a random number table method.Both groups received cesarean section treatment under lumbar epidural anesthesia.The control group received routine perioperative nursing intervention,while the observation group received TEAS.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality and the incidence of sleep disorders between two groups of patients before and after intervention.The Hamilton Depression Rating Scale(HAMD)was used to compare the improvement effect of depression status between the two groups of patients before and after intervention.The Edinburgh Postnatal Depression Scale(EPDS)was used to compare the improvement effect of postpartum depression status between the two groups of patients before and after intervention,and the incidence of adverse reactions between the two groups of patients was compared.Results:After intervention,the postpartum PSQI scores of the observation group were significantly lower than those of the control group.The HAMD and EPDS scores of the observation group at 42 days were significantly lower than those of the control group.The incidence of adverse reactions in the observation group was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:TEAS can effectively improve the sleep quality of cesarean section mothers,reduce the risk of postpartum depression,and has good safety.It is worthy of clinical promotion and application.

关 键 词：剖宫产 经皮穴位电刺激 睡眠障碍 产后抑郁 汉密尔顿抑郁量表 爱丁堡产后抑郁量表 匹兹堡睡眠质量指数 不良反应 

分 类 号：R338.63[医药卫生—人体生理学] R248.3[医药卫生—基础医学]