莱菔子、黄豆热奄包外敷减痛法联合硬膜外镇痛在分娩镇痛的应用研究

Application of relieving pain by fomentation of Radish seed and soybean and epidural analgesia in labor analgesia

目的研究莱菔子、黄豆热奄包外敷减痛法联合硬膜外镇痛在分娩镇痛的应用效果。方法选取2020年1月至2021年1月于九江市妇幼保健院产科住院分娩的200名产妇,使用随机数字表法分为对照组和联合组,各100例。均实施硬膜外镇痛,对照组实施常规护理,联合组在对照组基础上给予莱菔子、黄豆热奄包外敷。比较两组产妇镇痛前、镇痛15 min后、镇痛30 min后视觉模拟疼痛评分(VAS)评分,第1产程、第2产程、第3产程、总产程时间,镇痛效果,1 h出血量及催产素使用情况,并统计不良反应及中转剖宫产发生率。结果镇痛15 min和30 min后联合组VAS评分,联合组第1产程、第2产程、第3产程、总产程时间,联合组出血量、催产素使用、不良反应均低于对照组(P<0.05);联合组镇痛总有效率显著高于对照组(P<0.05);两组中转剖宫产发生率差异无统计学意义(P>0.05)。结论莱菔子、黄豆热奄包外敷减痛法联合硬膜外镇痛可显著减轻产妇在分娩过程中疼痛,缩短产程时间,提高镇痛效果,降低产后出血量及催产素使用率。

Objective To study the application of relieving pain of Radish seed and soybean fomentation combined with epidural analgesia in labor analgesia.Methods 200 women who gave birth in Department of Obstetrics,Jiujiang Maternal and Child Health Hospital from January 2020 to January 2021 were selected and divided into control group and combination group using random number table method,with 100 cases in each group.Epidural analgesia was administered in all patients,routine nursing was administered in the control group,and Radish seed and soybean fomentation was given in the combined group on the basis of control group.Visual analogue pain scale(VAS)scores before analgesia,15 minutes and 30 minutes after analgesia,the first,second and third stages of labor,total labor time,analgesic effect,1h blood loss and use of oxytocin were compared between the two groups,and the incidence of adverse reactions and cesarean section were analyzed.Results The VAS scores of 15 min and 30 min after analgesia,the time of first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor,the blood loss and the use of oxytocin,and the adverse reactions in combination group were significantly lower than those in control group(P<0.05).The total effective rate of analgesia in combination group was significantly higher than that in control group(P<0.05).There was no significant difference in the incidence of cesarean section between the two groups(P>0.05).Conclusions The combination of Radish seed and soybean fomentation and epidural analgesia can significantly reduce the pain of parturients during labor,shorten the labor time,improve the analgesic effect,reduce postpartum blood loss and the use rate of oxytocin.