腕踝针分娩镇痛的临床研究

目的观察腕踝针分娩镇痛的效果。方法将60例患者按照随机数字表法分为观察组和对照组,每组30例。观察组采用腕踝针分娩镇痛,对照组不采用操作性技术进行镇痛。分别于第一产程潜伏期开始、第一产程活跃期(子宫口开至3cm)、第二产程结束时对两组产妇的镇痛效果进行评价,并比较两组产妇的产程、产后出血量、产后尿潴留、新生儿窒息率、剖宫产率情况。结果观察组在第一产程活跃期、第二产程结束时疼痛视觉模拟评分(VAS)明显低于对照组(P<0.05)。观察组第一产程、总产程时间比对照组短(P<0.05),两组第二产程、第三产程时间差异无统计学意义(P>0.05)。观察组剖宫产率和新生儿窒息率低于对照组(P<0.05)。两组产后尿潴留、产后出血量比较差异无统计学意义(P>0.05)。结论腕踝针是分娩镇痛有效的方案,可有效减轻分娩疼痛,缩短总产程,降低剖宫产率和新生儿窒息率,无母婴并发症。

Clinical Study of Wrist-ankle Acupuncture for Labor Analgesia

Objective To investigate the analgesic effect of wrist-ankle acupuncture during labor. Method Sixty parturient women were allocated, using a random number table, to observation and control groups, 30 cases each. The observation group received wrist-ankle acupuncture for labor analgesia and the control group, no treatment with operational techniques for analgesia. The analgesic effect was evaluated in the two groups of parturients at the beginning of the latent phase of the first stage of labor, during the active phase of the first stage of labor (the cervix dilated to 3 cm) and at the end of the second stage of labor. Labor durations, postpartum bleeding amounts, postpartum residual urine volumes, the neonatal asphyxia rates and the cesarean section rates were compared between the two groups of parturients. Result During the active phase of the first stage of labor and at the end of the second stage of labor, the pain visual analog scale (VAS) score was significantly lower in the observation group than in the control group (P<0.05). The first stage of labor and the total stage of labor were shorter in the observation group than in the control group (P<0.05) but there were no statistically significant differences in the times of the second and third stages of labor (P>0.05). The cesarean section rate and the neonatal asphyxia rate were lower in the observation group than in the control group (P<0.05). There were no statistically significant differences in postpartum residual urine volume and bleeding amount between the two groups (P>0.05). Conclusion Wrist-ankle acupuncture is an effective method for labor analgesia. It can effectively relieve labor pain, shorten the total stage of labor and reduce cesarean section rate and the neonatal asphyxia rate without maternal and neonatal complications.