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目的:观察电针在临床分娩镇痛中的效果。方法:选取128例产妇为研究对象,随机分为对照组和观察组各64例。所有患者进行硬膜外麻醉镇痛,观察组在药物麻醉基础上予电针镇痛。比较2组的产程时间、产后2h出血量、疼痛视觉模拟评分法(VAS)评分及新生儿窒息情况。结果:2组第1产程、第2产程时间比较,差异均无统计学意义(P>0.05);而观察组在第3产程的时间短于对照组(P<0.05)。观察组产后2h出血量少于对照组(P<0.05)。观察组VAS评分在O级、1级的例数均少于对照组(P<0.05),VAS评分在2级、3级的例数均少于对照组(P<0.05)。观察组新生儿总窒息例数少于对照组(P<0.05)。结论:电针在分娩镇痛中作用明显,能缩短第3产程时间,减少产后2h出血量,减少新生儿窒息情况的发生。
Objective: To observe the effect of electroacupuncture in clinical labor analgesia. Methods: 128 maternal women were randomly divided into control group and observation group (64 cases each). All patients received epidural analgesia. The observation group received electroacupuncture analgesia on the basis of drug anesthesia. The duration of labor, blood loss at 2h postpartum, visual analog scale (VAS) score and neonatal asphyxia were compared between the two groups. Results: There was no significant difference in the 1st and 2nd stage of labor between the two groups (P> 0.05). The duration of the third stage of labor in the observation group was shorter than that of the control group (P <0.05). The observation group 2h after delivery less bleeding than the control group (P <0.05). The VAS scores in the observation group were less than those in the control group (P <0.05). The VAS scores were in the second and third grades less than those in the control group (P <0.05). The observation group neonatal total number of cases of asphyxia less than the control group (P <0.05). Conclusion: Electroacupuncture is effective in labor analgesia, which can shorten the third stage of labor, reduce the amount of bleeding after 2 hours and reduce the incidence of asphyxia in neonates.