分娩镇痛中开展穴位按摩减痛法干预的具体措施及对妊娠结局的影响

Specific Measures for the Intervention of Acupoint Massage to Reduce Pain During Labor Analgesia and its Influence on Pregnancy Outcome

目的:就分娩镇痛中开展穴位按摩减痛法干预的具体措施及对妊娠结局的影响进行分析,明确穴位按摩减痛法的应用价值。方法:纳入我院2019年5月—2020年12月收治的自然分娩产妇106例为研究对象,随机数字表法分为研究组(53例)、对照组(53例),2组产妇均接受自然分娩,对照组不开展围产期镇痛干预,研究组接受穴位按摩减痛法干预,就两组产妇围产期疼痛、镇静、产程进展情况,新生儿情况及妊娠结局等进行评定对比。结果:宫口开全、分娩即刻、产后1h三个阶段研究组VAS评分均显著低于对照组(P<0.05),宫口开全、分娩即刻两个阶段研究组Ramsay镇静评分均显著高于对照组(P<0.05);研究组产妇第一、第二产程与总产程均显著短于对照组(P<0.05);2组产妇自然分娩率、产钳助产率、围产期并发症率等比较无显著统计学差异(P>0.05);2组新生儿出生后不同阶段Apgar评分,PC02、Lac等脐动脉血血气分析相关指标,出生后48hNBNA评分比较均无显著统计学差异(P>0.05)。结论:分娩镇痛中开展穴位按摩减痛法干预,从潜伏期、活跃期等不同阶段开展不同的穴位按摩,有助于显著降低产妇疼痛情况,提升镇静情况,促进产程进展,对新生儿与妊娠结局无负面影响。

Objective:To analyze the specific measures of the intervention of acupoint massage for pain reduction in labor analgesia and its influence on pregnancy outcome,and to clarify the application value of acupuncture massage for pain reduction.Methods:A total of 106 natural delivery women admitted to our hospital from May 2019 to December 2020 were included as research subjects.Random number table method was divided into study group (53 cases) and control group (53 cases).Two groups of women All received natural childbirth,the control group did not carry out perinatal analgesia intervention,and the study group received acupoint massage to reduce pain intervention.The perinatal pain,sedation,labor progress,neonatal condition and pregnancy outcome of the two groups were evaluated Compared.Results:The VAS scores of the study group were significantly lower than those of the control group at the three stages of uterine orifice,immediate delivery and 1h postpartum (P<0.05),and the Ramsay sedation scores of the two-stage study group were significantly higher than those of the study group.Control group (P<0.05);the first and second stages of labor and total labor in the study group were significantly shorter than those in the control group (P<0.05);the rates of natural delivery,forceps delivery,and perinatal complications in the two groups There was no statistically significant difference between the two groups of newborns at different stages after birth,the Apgar scores,PC02,Lac and other related indicators of umbilical artery blood gas analysis,and the 48h NBNA scores after birth were not significantly different (P>0.05).Conclusion:The intervention of acupoint massage to reduce pain during childbirth analgesia,and different acupoint massages from different stages such as the incubation period and the active period,help to significantly reduce the pain of the parturient,improve the sedation,and promote the progress of the labor process,which is beneficial to the newborn and pregnancy.There is no negative impact on the ending.