揿针联合耳穴疗法对第一产程潜伏期镇痛及妊娠结局的影响
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R473.71

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上海市中医妇幼健康专项建设项目(FYJKZY-FB-2)


Effect of Thumb-Tack Needle for Subcutaneous Embedding Combined with Auricular Point Therapy on Pain During the Latent Phase of the First Labor Period and on Pregnancy Outcome
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    摘要:

    目的:采用揿针联合耳穴疗法治疗第一产程潜伏期疼痛,观察其临床疗效及对妊娠结局的影响。方法:选取200 例孕产妇,按住院分娩顺序随机分为对照组及治疗组各100 例。对照组导乐一对一陪伴,指导拉玛泽呼吸法,进行自然分娩;治疗组在对照组基础上予以揿针联合耳针疗法。比较2 组临床疗效,观察2 组产程时间、分娩方式、产后出血率、新生儿窒息率。结果:经阴道自然分娩时,治疗组临床疗效总有效率为83.87%,对照组为67.05%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组第一产程、第二产程、第三产程及总产程时间比较,差异均无统计学意义(P>0.05)。治疗组水中分娩率为15.00%,对照组为3.00%,2 组比较,差异有统计学意义(P<0.05);2 组经阴道自然分娩率、产钳率及剖宫产率比较,差异均无统计学意义(P>0.05)。2 组产后出血率、新生儿窒息率比较,差异均无统计学意义(P>0.05)。结论:揿针联合耳穴疗法可缓解第一产程潜伏期分娩疼痛,提高水中分娩率,对产程及妊娠结局未发现有较大影响,给孕产妇提供了一种相对舒适安全的分娩过程,提高分娩质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of thumb-tack needle for subcutaneous embedding combined with auricular point therapy on pain during the latent phase of the first labor period and its influence on pregnancy outcome. Methods:A total of 200 cases of pregnant women were randomly divided into the control group and the treatment group according to the order of hospital delivery. In the control group, pregnant women were accompanied by Doulas one to one, and guided Lamazza breathing method,and they carried out natural delivery. The treatment group was treated with thumb-tack needle for subcutaneous embedding combined with auricular point therapy based on the treatment of the control group. The clinical effects in the two groups were compared, and the duration of labor, delivery types, postpartum bleeding rate and neonatal asphyxia rate were observed. Results:In patients who underwent vaginal delivery, the total effective rate was 83.87% in the treatment group and 67.05% in the control group,the difference being significant(P<0.05). After treatment,there were no significant differences in the duration of the first stage of labor,the duration of the second stage of labor,the duration of the third stage of labor and the total duration of labor between the two groups(P>0.05). The rate of water birth was 15.00% in the treatment group and 3.00% in the control group,the difference being significant(P<0.05). There were no significant differences in vaginal delivery rate, forceps delivery rate and cesarean section rate between the two groups (P>0.05). There were no significant differences in postpartum bleeding rate and neonatal asphyxia rate between the two groups(P>0.05). Conclusion: Thumb- tack needle for subcutaneous embedding combined with auricular point therapy can relieve labor pain during the latent phase of the first stage of labor,improve the rate of water birth,and have no significant impact on labor duration and pregnancy outcome, which provides a relatively comfortable and safe delivery process for pregnant women and improves the quality of delivery.

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陈建凤,黄彩梅.揿针联合耳穴疗法对第一产程潜伏期镇痛及妊娠结局的影响[J].新中医,2022,54(15):179-182

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  • 在线发布日期: 2022-08-04
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