上海针灸杂志2017，Vol.36Issue(8)：905-909,5.DOI:10.13460/j.issn.1005-0957.2017.08.0905
针刺在分娩镇痛中应用与安全性临床观察
Application and Security Observation of Acupuncture in Labor Analgesia
摘要
Abstract
Objective To observe the therapeutic efficacy and safety of acupuncture and epidural anesthesia during full-term labor. Method A total of 199 eligible subjects experiencing natural labor were randomized into four groups. The acupuncture group was intervened by acupuncture at acupoints; the epidural group was given epidural anesthesia;the combined analgesia group was given acupuncture at acupoints plus epidural anesthesia; the control group was not given any interventions for analgesia. The Visual Analogue Scale (VAS) was adopted to record and compare labor pain (cervix dilation 3 cm at 0 min, 30 min, and 60 min, and at full cervix dilation); meanwhile, the active period of the first stage of labor, cervix dilation speed, the second stage of labor, Caesarean section (C-section) rate, instrumental delivery rate, Apgar score, and post-labor bleeding amount (2 h) were also recorded. The contents of blood β-endorphin (β-EP) and 5-hydroxytryptamine (5-HT) were monitored during the first stage of labor. Result Compared with the control group, the VAS scores dropped in the other three groups, and the decreases were similar in the epidural group and combined analgesia group, while the decrease in the acupuncture group was the least significant. Regarding the labor-related indexes, the cervix dilation speed was higher in the acupuncture group than in the control group(P<0.05), while there was no significant difference between the acupuncture group and control group in comparing the duration of the second labor stage(P>0.05). There were no significant between-group differencesin comparing the post-labor bleeding amount and Apgar score of the new-born babies(P>0.05), but compared with the epidural group, there was no use of assisted delivery. The content of blood β-EP during the first stage of labor increased in the acupuncture group and combined analgesic group(P<0.05), but there were no significant changes in the epidural group and control group(P>0.05). Conclusion Acupuncture analgesia can reduce labor pain and shorten labor duration without affecting the second stage of labor and security-related indexes.关键词
针刺镇痛/穴位/硬膜外麻醉/分娩镇痛/安全性Key words
Acupuncture analgesia/Acupoint/Epidural analgesia/Labor analgesia/Security分类
医药卫生引用本文复制引用
赵艳,朱翠萍,程晓红..针刺在分娩镇痛中应用与安全性临床观察[J].上海针灸杂志,2017,36(8):905-909,5.基金项目
上海市进一步加快中医药事业发展三年行动计划(2014年—2016年)建设项目(ZY3-LCPT-2-2008) （2014年—2016年）
