经皮神经电刺激在分娩镇痛中的应用研究

Analgesic Mechanism of Transcutaneous Electrical Nerve Stimulation and its Application in Labor Analgesia

目的探究经皮神经电刺激的镇痛机制及其在分娩镇痛中的应用效果。方法研究中共选取医院于2018年2月-2019年4月收治的86例产妇,采用随机分组法将产妇分成对照组和观察组,每组产妇各43例。对照组不对产妇实施分娩镇痛,观察组给予产妇经皮神经电刺激治疗法。结果镇痛后1 h、2 h、宫口全开时期,观察组VAS评分低于对照组,观察组产妇产程低于对照组,镇痛不同时刻产妇血清中β-内啡肽浓度均高于对照组,差异具有统计学意义(P<0.05)。结论在产妇分娩镇痛中应用经皮神经电刺激镇痛方法,有助于缓解潜伏期产妇的产痛症状,产程时间明显缩短,保证了母婴的安全性,避免对产妇造成较大的应激反应刺激,起到了良好的分娩镇痛效果。

Objective To explore the analgesic mechanism of transcutaneous electrical nerve stimulation and its application in labor analgesia.Methods A total of 86 pregnant women admitted to our hospital from February 2018 to April 2019 in this study were randomly divided into control group and observation group,with 43 cases in each group.The control group did not give labor analgesia to pregnant women,and the observation group gave pregnant women a transcutaneous electrical nerve stimulation treatment.Results At 1 h,2 h after analgesia and during the full opening of the cervix,the VAS score of the observation group was lower than that of the control group.The maternal labor of the observation group was lower than that of the control group.The serumβ-endorphin concentration in the maternal period was higher than that of the control.The difference was significant(P<0.05).Conclusion The application of percutaneous nerve electrical stimulation analgesia in pregnant women during labor analgesia can help relieve the painful symptoms of pregnant women in the incubation period,shorten the labor time,ensure the safety of mother and baby,and avoid the large cause of maternal Stimulating stimulation,played a good labor analgesic effect.