心理干预联合经皮电穴位刺激对分娩镇痛产妇焦虑和抑郁的影响

Effects of psychological intervention and percutaneous electro-acupoint stimulation on anxiety and depression of labor analgesia maternal

目的探讨心理干预联合经皮电穴位刺激对分娩镇痛产妇焦虑和抑郁的影响。方法将200例均为单胎足月产、头位的初产妇按照随机数字表法分为研究组和对照组,每组100例。研究组采用心理干预、经皮电穴位刺激联合硬膜外分娩镇痛,对照组采用硬膜外分娩镇痛。比较两组患者自控镇痛(PCA)用药量及干预前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。记录两组产妇双下肢改良Bromage评分及不良反应发生情况。评估两组产妇对分娩者痛的满意度。结果研究组产妇PCA用药量低于对照组(P<0.05)。两组产妇干预后的SAS和SDS评分均较干预前为低(P<0.05)。与对照组比较,研究组产妇干预后的SAS和SDS评分均降低(P<0.05)。两组产妇双下肢改良Bromage评分及不良反应发生情况差异均无统计学意义(P>0.05)。研究组产妇对分娩镇痛措施的满意度高于对照组(P<0.05)。结论心理干预联合经皮电穴位刺激用于分娩镇痛,可有效地缓解产妇的焦虑和抑郁情绪,有助于改善产妇围生期的心理状态,提高产妇对分娩镇痛措施的满意度。

Objective To investigate the effects of psychological intervention combined with percutaneous electrical acu- point stimulation on anxiety and depression of labor analgesia. Methods Totally 200 primipara women with term birth and head position were randomly divided into study group and control group, 100 cases in each group. The study group adopted psychological intervention, percutaneous electrical aeupoint stimulation combined with epidural analgesia, epi- dural analgesia in the control group. Patient controlled analgesia （PCA） and self- rating anxiety scale （SAS） and self - rating depression scale （ SDS ） before and after intervention were compared between the two groups. The Bromage score and the incidence of adverse reactions were recorded. Results The dosage of PCA in the study group was lower than that in the control group （P 〈 0. 05）. The SAS and SDS scores of both groups were lower than those before inter- vention （P 〈0. 05）. Compared with the control group, the SAS and SDS scores of the study group were reduced after the intervention （ P 〈 0. 05 ）. There was no significant difference in Bromage score and adverse reaction between the two groups （ P 〉 0. 05 ）. The satisfaction of labor analgesia in the study group was higher than that in the control group （ P 〈 0. 05 ）. Conclusion Psychological intervention combined with percutaneous electro - acupoint stimulation for labor analgesia call effectively relieve maternal anxiety and depression, help to improve maternal perinatal psychological state, improve maternal satisfaction with labor analgesia measures.