穴位按摩与耳穴压豆对初产妇第二产程疼痛程度及母婴结局的影响

Effect of Point Massage and Point Pressing with Beans on Pain Degree and Maternal-Infant Outcome During Second Stage of Labor of Primiparae

目的:观察在常规护理措施基础上加用穴位按摩与耳穴压豆对初产妇第二产程疼痛程度及母婴结局的影响。方法:将130例拟经阴道分娩的初产妇按随机数字表法分为对照组和观察组各65例。2组均于第二产程采用以自由体位和自主用力为主的分娩方式,并给予健康宣教、心理护理等措施。观察组加予穴位按摩与耳穴压豆进行干预。记录第二产程时间、分娩方式,评价疼痛程度,统计产后出血、产后尿潴留及产后发热的发生率;评价新生儿阿普加(Apgar)评分,统计新生儿窒息、酸血症的发生率。结果:观察组第二产程时间短于对照组,新生儿Apgar评分高于对照组,差异均有统计学意义(P<0.01)。观察组第二产程中疼痛程度轻于对照组(P<0.05)。观察组阴道顺产率为92.31%,高于对照组的80.00%,差异有统计学意义(P<0.05)。观察组产后尿潴留发生率为3.08%,低于对照组的13.85%,差异有统计学意义(P<0.05)。2组产后出血发生率、产后发热发生率比较,差异均无统计学意义(P>0.05)。观察组新生儿窒息发生率与酸血症发生率均低于对照组(P<0.05)。结论:在常规护理措施基础上加用穴位按摩与耳穴压豆可缩短初产妇的第二产程,减少产后尿潴留与新生儿窒息、酸血症的发生,提高阴道顺产率,显著改善母婴结局。

Objective:To observe the effect of the additional therapy of point massage and point pressing with beans based on routine nursing measures on pain degree and maternal-infant outcome during the second stage of labor of primiparae.Methods:A total of 130 cases of primiparae undergoing vaginal delivery were divided into the control group and the observation group according to the random number table method,65 cases in each group.The main modes of delivery,namely,free position and maternal pushing,were adopted by both groups during the second stage of labor.Both groups were also given health education,mental nursing,and other measures.The observation group was additionally given the intervention of point massage and point pressing with beans.The duration of the second stage of labor and the mode of delivery were recorded.The pain degree was evaluated.The incidences of postpartum hemorrhage,postpartum urinary retention,and puerperal fever were counted.The Apgar score of infants was evaluated,and the incidences of asphyxia and acidemia of infants were recorded.Results:The duration of the second stage of labor in the observation group was shorter than that in the control group,and the Apgar score of infants was higher,differences being significant(P<0.01).The pain degree during the second stage of labor in the observation group was milder than that in the control group(P<0.05).The rate of spontaneous delivery was 92.31%in the observation group,higher than that of 80.00%in the control group,the difference being significant(P<0.05).The incidence of postpartum urinary retention was 3.08%in the observation group,lower than that of 13.85%in the control group,the difference being significant(P<0.05).When compared the incidence of postpartum hemorrhage and puerperal fever between the two groups,there was no significance in differences being found(P>0.05).The incidence of asphyxia and acidemia of infants in the observation group was lower than that in the control group(P<0.05).Conclusion:Based on routine nursing measures,the additional therapy of point massage and point pressing with beans can shorten the second stage of labor of primiparae,decrease the incidence of postpartum urinary retention,asphyxia and acidemia of infants,increase the rate of spontaneous delivery,and significantly improve maternal-infant outcome.