耳穴刺激及次髎穴注射在分娩镇痛中的应用

目的:探讨耳穴刺激及次髎穴注射分娩镇痛效果。方法:对63例初产妇足月单胎,头位无头盆不称,无妊娠合并症、并发症者作治疗组取耳穴神门、子宫刺激并用王不留行籽留埋,同时在双侧次髎穴用1％利多卡因1.5mL注射,与同期未加干预自然分娩63例作对照组,比较两组产时镇痛效果,产程时间,分娩方式,失血量及新生儿情况。结果:治疗组镇痛显效占11.11％,有效88.89％,阵痛强度明显低于对照组(P<0.001),第一产程时间短于对照组(P<0.05),失血量少于对照组P<0.001,分娩方式,新生儿Apgar评分无差异。结论:耳穴刺激及次髎穴注射是一种好的分娩镇痛方法,效果可靠、简单易行,对母婴无不良影响,可在基层广泛推广。

Use of Ear Point Stimulation and Ciliao Injection for Inhibiting Pain in Parturition

Objective:To explore analgesic effect in parturition of ear point stimulation and Cib'ao injection.Methods:63 cases of u-nipara with term fetus without cephabpelvic disproportion or complication of pregnancy treated with ear point Shenmen and Zigong stimulation , and auricular point sticking with Semen Vaccariae and injected with 1. 5mL 1 % Ciliao injection. Another 63 cases with natrual labor were treated as control group, then compare intrapartum analgesic effects, time of labor,method of delivery, blood loss,neonatal situation between two groups.Results:The total effection rate in inhibiting pain was 88.8% in the treatment group. The treatment group had less severe labor pain than control group( P < 0.001) .shorter labor time( P < 0.05) and blood loss( P < 0.001),but there was no sig-nifcant difference in method of labor and Apgar of newborns. Conclusion: Ear point stimulation and Ciliao injection can be used to relieve pain parturition and produce a reliable effect so the methods can be safely extended to the grass - roots units.