穴位按摩结合配偶支持干预对产妇产后出血的影响

Influence of Acupoint Massage and Spouse Support Intervention on Postpartum Hemorrhage in Puerperae

目的:探讨穴位按摩结合配偶支持干预对产妇产后出血的影响。方法:选取经阴道分娩初产妇200例,随机分为A组(n=67)、B组(n=67)、C组(n=66),A组给予穴位按摩结合配偶支持干预,B组给予配偶支持干预,C组给予常规护理干预。比较3组产妇产程时间、疼痛状态、产后出血情况、心理状态。结果:A组第一产程、第二产程、第三产程时间短于B组(P<0.05),B组短于C组(P<0.05);A组第一产程、第二产程、第三产程疼痛(visual analogue scale,VAS)评分低于B组(P<0.05),B组低于C组(P<0.05);A组产后2、24 h出血量少于B组(P<0.05),B组少于C组(P<0.05);A组产后出血发生率低于B、C组(P<0.05);A、B组分娩后焦虑、抑郁自我量表评分低于C组(P<0.05)。结论:穴位按摩结合配偶支持干预有利于缩短产妇产程时间,减轻分娩过程中疼痛,改善产妇心理状况,降低产后出血发生率。

Objective:To explore the effects of acupoint massage combined with spouse support intervention on postpartum hemorrhage in puerperae.Methods:A total of 200 primiparas undergoing vaginal delivery were chosen,randomized into A group(n=67),B group(n=67)and C group(n=66),A group accepted acupoint massage combined with spouse support intervention,B group spouse support intervention and C group conventional nursing intervention.To compare the duration of labor,pain state,postpartum hemorrhage conditions and psychological state in puerpera in three groups.Results:A group was shorter than B group in the time of the first,the second and the third stage of labor(P<0.05),B group was shorter than C group(P<0.05);A group was lower than B group in VAS scores at the first,the second and the third stage of labor(P<0.05),B group was lower than C group(P<0.05);A group was less than B group in postpartum hemorrhage within two and 24 hours(P<0.05),B group was less than C group(P<0.05);A group was lower than B group and C group in the incidence of postpartum hemorrhage(P<0.05);A group and B group was lower than C group in SAS and SDS scores(P<0.05).Conclusion:Acupoint massage combined with spouse support intervention could help shorten the duration of labor,relieve the pain during the birth process,improve the puerpera’s psychological state and lower the incidence of postpartum hemorrhage.