香薰调息疗法对缓解产妇分娩疲乏和疼痛的效果

Effect of aromatic pranayama on alleviating puerperal pain and fatigue

目的：探讨香薰调息疗法缓解分娩产妇疲劳和疼痛的效果。方法选择本院自然分娩足月产妇136名,按照随机数字表法分成干预组和对照组各68名,两组均接受常规分娩护理,干预组在此基础上采用香薰调息疗法护理。采用视觉模拟评分法（ VAS）评估两组产妇的疼痛程度,参照线性视觉模拟评分标尺评估疲乏程度,调查干预组产妇对干预措施的主观评价。结果干预组产妇第一产程活跃期、第二产程及第三产程疼痛程度VAS评分分别为（7.24±1.09）,（6.95±0.85）,（5.25±2.17）分,均低于对照组,差异有统计学意义（t值分别为-2.961,-3.258,-3.122；P〈0.05）；干预组产妇第二产程及第三产程疲乏程度VAS评分分别为（5.91±0.85）,（6.34±1.60）分,均低于对照组,差异有统计学意义（t值分别为-2.879,-2.947；P 〈0.05）；干预组产妇对香薰调息法主观评价总分为（14.18±1.82）分,在增进舒适度、缓解紧张、促进放松、减轻疲劳主观评价平均分均在3分以上。结论香薰调息疗法对缓解分娩疼痛、疲乏效果明显,是一项值得推广的干预措施。

Objective To explore the effect of aromatic pranavama on alleviating pain and fatigue during labor of puerperal. Methods We selected 136 cases hospitalized puerperas, which were allocated to observation group （ May to August 2013 ） and control group （ January to April 2013 ） of equal size （ n=68 ） . Both two groups received routine labor-care, but the observation group were given aromatic pranayama intervention. By visual analogue scale （ VAS） method, the pain score and weary score had been measured and compared in two groups, and the subjective assessment of purepera was investigated as well. Results Compared with the control group, the scores of VAS pain in the observation group at the first, second and third stage of labor were （7.24 ±1.09）, （6.95 ±0.85）, （5.25 ±2.17）;there were significant differences （t= -2.961,-3. 258, -3. 122,respectively;P〈0. 05）. The levels of weary during second and third stage of labor in the observationgroupwere（5.91±0.85） and（6.34±1.60） lowerthanthesedatainthecontrolgroup（t =-2. 879,-2. 947,respectively;P〈0. 05）. The puerperal subjective assessment of aromatic pranayama in the observation group was （14. 18 ± 1. 82）, in which the promoted comfort, eased the tension, relaxation, relieved fatigue scores were all above 3 points. Conclusions The aromatic pranayama can significantly alleviate pain and weary during labor, and is worth of clinical promotion.