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电针联合硬膜外麻醉在分娩镇痛中的应用OA

Application of Electroacupuncture Combined with Epidural Anesthesia in Labor Analgesia

中文摘要英文摘要

目的:探讨分娩镇痛中应用电针联合硬膜外麻醉的效果.方法:选取 2020 年 1 月—2022 年 12 月洪湖市中医医院收治的 100 例产妇作为研究对象,以随机数表法将其分为研究组(n=50)与对照组(n=50).对照组给予硬膜外麻醉分娩镇痛,研究组给予电针联合硬膜外麻醉分娩镇痛,比较两组产程、疼痛程度、外周血β-内啡肽(β-EP)水平、产后出血量、新生儿Apgar评分.结果:研究组各产程较对照组更短,差异有统计学意义(P<0.05);宫口开2 cm、宫口开4 cm、宫口开 6 cm、宫口开全,两组视觉模拟评分法(VAS)评分较产程开始降低,研究组较对照组更低,差异有统计学意义(P<0.05);产程开始后 1 h、2 h,两组外周血β-EP水平升高,研究组较对照组更高,差异有统计学意义(P<0.05);两组新生儿 1 min Apgar评分比较,差异无统计学意义(P>0.05);研究组产后出血量较对照组更少,差异有统计学意义(P<0.05).结论:分娩镇痛中应用电针联合硬膜外麻醉能有效缩短产程,降低疼痛程度,提高β-EP水平,减少产后出血量,且不会对新生儿造成不良影响.

Objective:To explore the effect of electroacupuncture combined with epidural anesthesia in labor analgesia.Method:A total of 100 parturients who admitted to Honghu Traditional Chinese Medicine Hospital from January 2020 to December 2022 were selected as the research objects,they were divided into the study group(n=50)and the control group(n=50)by random number table method.The control group was given epidural anesthesia for delivery analgesia,the study group was given electroacupuncture combined with epidural anesthesia for delivery analgesia,the labor process,pain degree,peripheral blood β-endorphin(β-EP)level,postpartum hemorrhage volume and newborns Apgar score were compared between two groups.Result:The stages of labor process in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05);at the uterus orifice opens 2 cm,the uterus orifice opens 4 cm,the uterus orifice opens 6 cm,the uterus orifice opens completely,the visual analogue scale(VAS)scores of two groups were lower than those at the beginning of labor,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05);at 1 h and 2 h after the start of labor,the levels of β-EP in peripheral blood of two groups were increased,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05);there was no significant difference in newborns 1 min Apgar score between two groups(P>0.05),the amount of postpartum hemorrhage in the study group was less than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of electroacupuncture combined with epidural anesthesia in labor analgesia can effectively shorten the labor process,reduce the degree of pain,increase the level of β-EP,reduce the amount of postpartum hemorrhage,and will not cause adverse effects on the newborn.

刘国澜

洪湖市中医医院 湖北 洪湖 433200

电针硬膜外麻醉分娩镇痛

ElectroacupunctureEpidural anesthesiaLabor analgesia

《中外医学研究》 2024 (023)

31-34 / 4

湖北省卫生健康委员会科研项目(WJ2021F087)

10.14033/j.cnki.cfmr.2024.23.008

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