耳穴埋豆、穴位贴敷及镇痛泵在产程子宫收缩痛中的应用研究

Study on Application of Auricular Point Pressing with Beans,Point Application and Analgesia Pump on Pain of Uterine Contraction in Stage of Labor

目的:观察产妇产程子宫收缩痛中实施耳穴埋豆、穴位贴敷及镇痛泵的临床疗效。方法:纳入产妇102例为研究对象,按随机数字表法分为试验组与对照组,每组51例,试验组给予耳穴埋豆、穴位贴敷及镇痛泵治疗,对照组给予镇痛泵治疗,观察比较2组患者宫缩疼痛程度、不良反应发生率,并对临床疗效指标产妇舒适度、镇静效果、初乳时间、哺乳次数等进行评估。结果:术后2 h、6 h、12 h,试验组宫缩疼痛程度评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,试验组患者舒适度评分、镇静效果评分、哺乳次数评分均高于对照组,初乳时间短于对照组,差异均有统计学意义(P<0.05)。不良反应发生率试验组为5.88%,对照组为19.61%,2组比较,差异有统计学意义(P<0.05)。结论:耳穴埋豆、穴位贴敷联合镇痛泵应用于产妇产程子宫收缩痛中疗效显著,可缓解产妇宫缩疼痛程度,提高其分娩舒适性,且可减少不良反应。

Objective:To observe the clinical effect of auricular point pressing with beans,point application and analgesia pump on pain of uterine contraction in stage of labor in puerperas.Methods:A total of 102 cases of puerperas in our hospital were included as the study subjects and divided into the experiment group and the control group according to the random number table method,51 cases in each group.The experiment group was treated with auricular point pressing with beans,point application and analgesia pump,and the control group was simply given analgesia pump.The pain of uterine contraction,the incidence of adverse reactions in the two groups were observed and compared;the comfort degree of puerperas and the sedative effect,and the colostrum time and frequency of breastfeeding were assessed.Results:Two,six and twelve hours after surgery respectively,the scores of pain of uterine contraction in the experiment group were lower than those in the control group,differences being significant(P<0.05).After treatment,the scores of comfort degree,sedative effect and frequency of breastfeeding in the experiment group were higher than those in the control group,and the colostrum time was shorter,differences being significant(P<0.05).The incidence of adverse reactions was 5.88%in the experiment group and 19.61%in the control group,the difference being significant(P<0.05).Conclusion:The therapy of auricular point pressing with beans,point application and analgesia pump has significant curative effect on pain of uterine contraction in stage of labor in puerperas,and can relive pain of uterine contraction,improve comfort degree of labor and reduce adverse reactions.