高级检索
    李瑜琴, 郑萍, 汪建胜, 赵艳, 朱翠萍. 针刺辅助硬膜外麻醉对分娩镇痛的可行性研究[J]. 蚌埠医科大学学报, 2019, 44(12): 1625-1627. DOI: 10.13898/j.cnki.issn.1000-2200.2019.12.013
    引用本文: 李瑜琴, 郑萍, 汪建胜, 赵艳, 朱翠萍. 针刺辅助硬膜外麻醉对分娩镇痛的可行性研究[J]. 蚌埠医科大学学报, 2019, 44(12): 1625-1627. DOI: 10.13898/j.cnki.issn.1000-2200.2019.12.013
    shu
    LI Yu-qin, ZHENG Ping, WANG Jian-sheng, ZHAO Yan, ZHU Cui-ping. Feasibility study of the acupuncture-assisted epidural anesthesia in labor analgesia[J]. Journal of Bengbu Medical University, 2019, 44(12): 1625-1627. DOI: 10.13898/j.cnki.issn.1000-2200.2019.12.013
    Citation: LI Yu-qin, ZHENG Ping, WANG Jian-sheng, ZHAO Yan, ZHU Cui-ping. Feasibility study of the acupuncture-assisted epidural anesthesia in labor analgesia[J]. Journal of Bengbu Medical University, 2019, 44(12): 1625-1627. DOI: 10.13898/j.cnki.issn.1000-2200.2019.12.013
    shu

    针刺辅助硬膜外麻醉对分娩镇痛的可行性研究

    Feasibility study of the acupuncture-assisted epidural anesthesia in labor analgesia

      摘要
    • 摘要:
      目的研究针刺相应穴位辅助硬膜外分娩镇痛的效果。
      方法选取100例初产妇，排除难产因素和硬膜外穿刺禁忌，随机双盲法分为2组，A组为硬膜外自控镇痛（PCEA）组；B组为针刺复合PCEA组。记录2组疼痛评分、产程等各项指标，并检测不同时间点血β-内啡肽和5-羟色胺（5-HT）水平的变化。
      结果镇痛后（宫口开10 cm）血5-HT、血β-内啡肽和疼痛评分较镇痛前（宫口开3 cm）均降低（P < 0.05~P < 0.01）；镇痛后，B组血5-HT和疼痛评分较A组低（P < 0.01），β-内啡肽在2组间差异无统计学意义（P>0.05）。A组的活跃期时间、第二产程时间及出血量均高于B组（P < 0.01），第三产程时间A组低于B组（P < 0.01）。2组间剖宫产率、产钳率和新生儿评分差异均无统计学意义（P>0.05）。
      结论针刺复合PCEA辅助硬膜外分娩镇痛安全、有效。

       

      Abstract:
      ObjectiveTo evaluate the acupuncture-assisted epidural anesthesia in labor analgesia.
      MethodsOne hundred primipara, excluding dystocia and epidural puncture taboo, were randomly divided into group A(PCEA group) and group B(acupuncture combined with PCEA group).The pain scores and other indicators of labor process in two groups were recorded, and the serum levels of β-endorphin and 5-HT were detected in two groups in different time-points.
      ResultsAfter analgesia(orifice of the uterus opening 10 cm), the serum levels of β-endorphin and 5-HT and pain score decreased compared with before analgesia(orifice of the uterus opening 3 cm) (P < 0.05 to P < 0.01).After analgesia, the serum level of 5-HT and pain score in group A were lower than those in group B(P < 0.01), and the difference of the serum level of β-endorphin was not statistically significant(P>0.05).The time of active stage, time of the second labor and blood loss in group A were higher than those in group B (P < 0.01), and the time of the third labor in group A was lower than that in group B(P < 0.01).The differences of the cesarean section rate, forceps rate and neonatal score were not statistically significant between two groups(P>0.05).
      ConclusionsThe acupuncture-assisted epidural anesthesia combined with PCEA for labor analgesia is safe and effective.

       

      • HTML全文
      • 参考文献(11)
      • 相关文章
      • 施引文献
    • 资源附件(0)

    /

    返回文章
    返回