子痫前期产后耳穴贴压对产妇血压及心理情绪的影响

Influence of auricular point pressing on maternal blood pressure and psychological mood in preeclampsia

目的探讨子痫前期产后耳穴贴压对产妇血压及心理情绪的影响。方法选取2020年1月至2021年5月于九江市妇幼保健院住院分娩的125例产妇作为研究对象,按照产妇意愿将其分为对照组(62例)与研究组(63例)。对照组产妇采用常规药物降压治疗;研究组产妇采用耳穴贴压治疗。比较两组产妇的血压、疗效、爱丁堡产后抑郁量表及随访情况。结果治疗后,两组产妇的收缩压和舒张压低于治疗前,差异有统计学意义(P<0.05);治疗后,两组产妇的收缩压和舒张压比较,差异无统计学意义(P>0.05)。研究组产妇的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组产妇的爱丁堡产后抑郁量表评分比较,差异无统计学意义(P<0.05);治疗后,两组产妇的爱丁堡产后抑郁量表评分低于治疗前,差异有统计学意义(P<0.05);治疗后,研究组产妇的爱丁堡产后抑郁量表评分低于对照组,差异有统计学意义(P<0.05)。研究组产妇的治疗依从性良好占比高于对照组,差异有统计学意义(P<0.05);研究组产妇治疗后的产后情绪焦虑占比低于对照组,差异有统计学意义(P<0.05);研究组产妇产后14 d血压正常、尿蛋白转阴及肝肾功能正常率高于对照组,差异有统计学意义(P<0.05)。结论子痫前期产后中医耳穴贴压的降压效果显著,可改善产妇焦虑的状态。

Objective To investigate the influence of auricular point pressing on maternal blood pressure and psychological mood in preeclampsia.Methods A total of 125 hospitalized patients who gave birth in Jiujiang Maternal and Child Health Hospital from January 2020 to May 2021 were selected as the research subjects.They were divided into control group(62 cases)and study group(63 cases)based on maternal willingness.The control group received conventional drug decompression therapy,the study group was treated with auricular point pressing.Blood pressure,efficacy,Edinburgh postpartum depression scale and follow-up were compared between the two groups.Results After treatment,the maternal systolic blood pressure and diastolic depression in the two groups were higher than those before treatment,and the differences were statistically significant(P<0.05).After treatment,there were no statistically significant differences in systolic and diastolic blood pressure between the two groups(P>0.05).The total effective rate in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the scores of Edinburgh postpartum depression scale between the two groups(P<0.05).After treatment,the Edinburgh postpartum depression scale score of the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05).After treatment,the Edinburgh postpartum depression scale score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The proportion of good treatment compliance in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The proportion of postpartum emotional anxiety in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The rates of normal blood pressure,negative urinary protein and normal liver and kidney function in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The effect of ear point sticking on postpartum hypertension of preeclampsia is significant,which can reduce the use of postpartum antihypertensive drugs and improve the state of maternal anxiety.