豆袋热敷联合电针用于足月分娩镇痛对产妇血流动力学及应激指标影响

Effects of the bean bag hot compress combined with the electroacupuncture used for analgesia of singleton women during full-term labor on their hemodynamic and stress indicators

目的:探究豆袋热敷联合电针在初产妇单胎足月分娩镇痛中的应用效果。方法:回顾性分析2020年3月-2023年3月于本院分娩且接受电针分娩镇痛干预的单胎足月初产妇临床资料,按是否在分娩镇痛中联合豆袋热敷干预分为观察组216例(豆袋热敷联合电针镇痛)和对照组190例(单纯电针镇痛)。比较两组分娩前(T0)、第一产程(T1)、第二产程(T2)、第三产程(T3)时血流动力学状态[心率(HR)、平均动脉压(MAP)、血氧饱和度(SPO2)]、镇痛指标[血清多巴胺(DA)、血清强啡肽(DYN)、皮质醇(COR)],应激程度[促肾上腺皮质激素(ACTH)、去甲肾上腺素(NE)、肾上腺素(E)]变化。结果:T1、T2、T3时,观察组血清DYN、MAP、SPO2水平均高于对照组,HR、COR、DA及应激指标水平均低于对照组(均P<0.05)。结论:豆袋热敷联合电针可减轻机体应激反应,降低疼痛指标,维持血流动力学稳定有积极作用。

Objective:To explore the application effect of the bean bag hot compress combined with the electroacupuncture used for analgesia of singleton women during full-term labor.Methods:A retrospective analysis was performed on the clinical data of the singleton women who had been given the analgesia during full-term labor from March 2020 to March 2023.According to whether the bean bag hot compress combined with electroacupuncture for the analgesia during delivery or not,these women were divided into observation group(216 cases with the bean bag hot compress combined with electroacupuncture for analgesia)and control group(190 cases with the simple electroacupuncture for analgesia).The hemodynamic status evaluated by heart rate(HR),mean arterial pressure(MAP)and blood oxygen saturation(SPO_(2)),the levels of the analgesic indicators,such as serum catecholamine(CA),serum dynorphin(DYN)and cortisol(COR),the level changes of the stress degree indicators,such as adrenocorticotropic hormone(ACTH),norepinephrine(NE)and epinephrine(E),of the women before labor(T0)and in the first stage of labor(T1),in the second stage of labor(T2)and in the third stage of labor(T3)were compared between the two groups.Results:At T1,T2 and T3,the serum levels of DYN,MAP,and SPO_(2)of the women in the observation group were significantly higher than those of the women in the control group,while the HR value and the levels of COR and DA,and the stress indicators levels of the women in the observation group were significantly lower than those of the women in control group(all P<0.05).Conclusion:The bean bag hot compress combined with the electroacupuncture used for analgesia of singleton women during full-term labor can effectively relieve their body’s stress response and labor pain indicators,and which plays a positive role in maintaining their hemodynamic stability.