穴位按摩镇痛法对第一产程活跃期宫缩压的影响

The Effect of Point Massage Relieve Pain Method on Uterine Contraction Pressure in Active Phase at First Stage

目的:通过在第一产程活跃期时,对产妇实施穴位按摩方法,探讨此法对宫缩压及分娩疼痛的影响。方法:将90例无显著个体差异的产妇随机分为2组,治疗组45例,按中医理论对个体进行辨证后,采用穴位按摩法给予镇痛;另45例对照组,进行自然分娩。后将两组数据统计对比分析。结果:治疗组中第一产程宫缩期压力低于对照组,且P<0.05,有统计学意义。治疗组采取穴位按摩镇痛法后疼痛缓解率为66.67%,明显高于对照组16.67%,且两组相比P<0.01,有显著差异。结论:第一产程活跃期进行穴位按摩镇痛可以有效降低宫缩压,并减轻分娩疼痛。宫缩期压力降低对胎儿情况、总产程及新生儿等方面有否影响,需待进一步研究。

Objective ： To investigate the effect on uterine pressure in the first stage of labor active phase with acupuncture point massage analgesia. Method ： 90 patients with no significant individual differences in maternal randomly are divided into 2 groups. The 45 cases were used acupuncture point massage analgesia to analyzed with other 45 cases that who are natural childbirth. Result：The experimental group＇ suterine pressure in the first stage of labor is lower than the control group（ P 〈 0.05 ）. The rate of pain relief in the experimental group is 66.67 % , the number is higher than 16.67 % of the control group （ P 〈 0.05 ）. Conclusion ： Acupuncture point massage on the first stage of labor active phase can reduce the uterine pressure and relieve pain. But there need to be further studied on whether reduce the pressure of uterine has an impact on fetal period, the total labor and the newborn.