长强穴按摩在第二产程应用中的效果评价

目的 探讨长强穴按摩在初产妇第二产程中应用的效果.方法 随机将124例初产妇分为2组,观察组63例,对照组61例.观察组在初产妇进入第二产程后,在宫缩开始时用右手示指与中指用力向上按摩长强穴,并指导产妇配合宫缩向长强穴按摩的肛门部位向下屏气用力.对照组在第二产程中采用常规方法指导产妇在宫缩时正确运用腹压.比较2组第二产程的进展情况及产后2 h出血量.结果 观察组产妇的子宫收缩持续时间比对照组长,观察组产妇的第二产程时间比对照组短,观察组产妇的产后2 h阴道流血量比对照组少.结论 第二产程应用长强穴按摩可增强子宫收缩持续的时间,促进第二产程进展,减少产后出血.

Application effect of massaging Changqiang acupuncture point during the second labor course

Objective To investigate the effect of massaging Changqiang acupuncture point during the second labor course of primiparas. Methods 124 primiparas were randomized into the observation group(63 cases)and the control group (61 cases). In the observation group, after entering the second stage of labor, Changqiang point was massaged upwards by using index finger and middle finger, and at the same time primiparas were guided to hold breath to coordinate with uterine contraction to make effort to the anus point which was massaged. While the control group were directed with routine way of correctly using abdominal pressure during process of uterine contraction in the second stage of labor. Results The lasting time of uterine contraction was significantly longer in the observation group than in the control group, the time of second stage of labor was shorter, and the amount of postpartum hemorrhage in the observation group was less than those in the control group. Conclusions Application of massaging Changqiang acupuncture point could prolonge the time of uterine contraction, advance the progress of second stage of labor, and decreased the amount of postpartum hemorrhage.