穴位按摩法对产妇多巴胺水平影响及镇痛作用的研究

The Research of the Effect of Acupoint Massage on Puerpera′s Dopamine Levels and the Analgesia.

目的探讨穴位按摩法对分娩镇痛的临床疗效以及相关性临床因素,明确穴位按摩在分娩镇痛中的作用机制以及与多巴胺神经递质的关系。方法选择2009年3～9月在我院符合纳入标准的待产妇,随机分为两组:观察组:在产程进入活跃期时,采用穴位按摩法;对照组:不施任何治疗手段,自然分娩。观察穴位按摩的镇痛效果及对宫缩压的影响,应用荧光分光光度法测定孕妇按摩前和按摩后血中多巴胺的含量。探讨穴位按摩法对多巴胺含量的影响。结果观察组较对照组疼痛程度下降,宫缩强度减弱,按摩后孕妇血清多巴胺的含量比按摩前明显降低(P<0.05)。穴位按摩法能明显降低孕妇血中多巴胺的含量。结论采用穴位按摩法可明显减轻分娩疼痛,穴位按摩法可通过有效调节多巴胺的含量来达到镇痛的作用。

Objective To investigate the effects of acupoint massage on labor analgesia efficacy and it＇ s related clinical factors, so to definite the analgesia mechanism and the relationship between the neurotransmitter dopamine and analgesia mechanism. Methods We choosed patients who have been hospitalized in No. 1 hospital from March 2009 to September 2009, and divided them into two groups randomly： observation group and control group. Patients in the observation group were treated with acupuncture massage when the production process went into the active phase. Control group indicated that childbirth was naturally without any treatment. We observed the analgesic effect of point massage and the impact of pressure on the uterine contractions. We tested the dopamine level in the blood by fluorescent speetrophotometry before and afte the acupoint massage . We explored the effects of the point massage on the dopamine level in the puerpera. Results The observation group＇s pain decreased more than that of the control group. The intensity of contractions in observation group was decreased more obvious than that of the the control group. The serum dopamine levels was significantly lower than that pre - massage （ P 〈 0.05 ）. Conclusion Acupoint massage can significantly reduce the level of dopamine in the blood of pregnant women.