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目的:探讨穴位贴敷配合穴位按压对初产妇产程护理的影响。方法:收集2014年1月—2015年7月初产孕妇126例,随机将上述病例分为对照组42例、干预1组(穴位贴敷组)42例、干预2组(穴位贴敷加穴位按压组)42例,所有患者均根据产程进展,在围产期间给予常规治疗和护理干预。对干预1组、干预2组应用单盲法,当宫口开至1~2 cm时,将由当归、怀牛膝制备的贴敷药膏,利用医用胶布固定于产妇双侧合谷、三阴交等穴位。干预2组给予一定力度的穴位按压。密切观察孕妇不同产程周期及第二产程宫缩疼程度。结果:各组比较,干预2组第一、二产程时长少于对照组,差异有统计学意义(P<0.05)。各组第三产程时长差异不显著,不具有统计学意义(P>0.05)。进入第二产程后,干预1组、干预2组在首次穴位按压前宫缩痛与对照组两两比较具有统计学意义(P<0.05),而干预1组、干预2组比较不具有统计学意义(P>0.05)。干预1组、干预2组在末次穴位按压30 min后宫缩痛与对照组两两比较具有统计学意义(P<0.05),而干预1组、干预2组比较具有统计学意义(P<0.05)。干预2组首次穴位按压与末次穴位按压30 min后宫缩痛比较具有统计学意义(P<0.05)。结论:穴位贴敷配合穴位按压可缩短第一、二产程,减轻初产妇第二产程宫缩痛。能够缓解初产妇分娩期因疼痛造成的心理压力,提高初产妇的分娩质量。
Objective: To investigate the effect of acupoint sticking and acupoint pressing on primipara labor care. Methods: A total of 126 primiparous pregnant women were collected from January 2014 to July 2015. The above cases were randomly divided into control group (n = 42), intervention group 1 (acupoint application group), intervention group 2 (acupressure plus acupressure press Group) 42 cases, all patients according to the progress of labor, during the perinatal period given conventional treatment and nursing intervention. The intervention group 1 and intervention group 2 were given single blind method. When the cervix was opened to 1 ~ 2 cm, the ointment prepared from Angelica sinensis and Achyranthes bidentata was fixed on the bilateral Hegu and Sanyinjiao acupoints with the medical tape. Intervention group 2 to give a certain degree of acupressure. Close observation of pregnant women with different stages of labor and the second stage of uterine contractions pain degree. Results: Compared with control group, the first and second course of labor in the intervention group were less than the control group, the difference was statistically significant (P <0.05). The duration of the third stage of labor was no significant difference between each group, not statistically significant (P> 0.05). After entering the second stage of labor, intervention group 1 and intervention group 2 were statistically significant (P <0.05) compared with the control group in the first acupressure, while intervention group 1 and intervention group 2 were not statistically significant Significance (P> 0.05). Intervention group 1 and intervention group 2 had statistical significance (P <0.05) in the contractions of uterine contractions and the control group after 30 minutes of the last acupoint compression, while the intervention group 1 and intervention group 2 had statistically significant (P <0.05 ). Intervention in the two groups of first acupressure and the last acupoint compression of posterior uterine pain was statistically significant (P <0.05). Conclusion: Acupoint application with acupoint compression can shorten the first and second stage of labor, reduce the second labor of primiparae contractions pain. It can relieve the psychological pressure caused by pain during the delivery of primipara and improve the quality of primipara.