音乐疗法联合针刺与耳穴按压在初产妇分娩中的应用

目的探讨音乐疗法联合针刺与耳穴按压在初产妇分娩中的效果。方法采用便利抽样法,选取2017年6—12月于浙江大学舟山医院产科分娩的初产妇90例为研究对象,按随机数字表法分为干预组和对照组各45例。对照组采用音乐疗法,收听患者自己喜欢的音乐,干预组在对照组基础上采用针刺与耳穴按压。比较两组产妇的疼痛数字评分(NRS)、宫口开3~10 cm的时间、新生儿阿普加评分及产后2 h出血量。结果在宫口开≥3 cm时,两组初产妇NRS评分比较差异无统计学意义(P>0.05);镇痛后30 min和宫口开全时,干预组的NRS评分均低于对照组,两组比较差异有统计学意义(P<0.05)。干预组患者宫口开3~10 cm的时间短于对照组,两组比较差异有统计学意义(P<0.05)。两组患者的新生儿阿普加评分、产后2 h出血量比较,差异无统计学意义(P>0.05)。结论在音乐疗法的基础上联合针刺与耳穴按压能减轻分娩疼痛,缩短宫口开全时间,且对母婴安全,效果优于单纯音乐疗法,值得推广应用。

Application of music therapy combined with acupuncture and auricular acupoint pressing in childbirth of primipara

Objective To explore the effects of music therapy combined with acupuncture and auricular acupoint pressing in childbirth of primipara.Methods From June to December 2017,this study selected 90 primiparas with childbirth in Obstetrics Department at Zhejiang University Zhoushan Hospital as subjects by convenience sampling.All of primiparas were divided into intervention group and control group with the method of random number table,45 cases in each group.Control group adopted music therapy in which patients listened to their favorite music.On the basis of that in control group,intervention group carried out the acupuncture and auricular acupoint pressing.This study compared the Numerical Rating Scale(NRS),the time when the orifice of uterus ranged from 3 to 10 cm,neonatal Apgar score and blood loss two hours after childbirth of delivery women.Results There was no statistical difference in the score of NRS of primiparas between two groups when the orifice of uterus≥3 cm(P>0.05).The scores of NRS of intervention group were lower than those of control group with statistical differences 30 min after analgesia and when uterus opened to the full(P<0.05).The time when the orifice of uterus ranged from 3 to 10 cm in intervention group was shorter than that in control group with a statistical difference(P<0.05).There were no statistical differences in the neonatal Apgar score and blood loss two hours after childbirth of patients between two groups(P>0.05).Conclusions Music therapy combined with acupuncture and auricular acupoint pressing can ease the labor pain,shorten the time when uterus opens to the full,and is safe for mother and baby and has better effects compared with simply music therapy which is worthy of being popularized and applied.