[1]祝丽娟,徐亚黎,汪得芳.香薰疗法联合穴位皮内阻滞注射在第一产程中的效果观察[J].甘肃中医药大学学报,2018,35(02):79-83.[doi:10.16841/j.issn1003-8450.2018.02.22]
 ZHU Lijuan,XU Yali,WANG Defang.Observation on the effect of aromatherapy combined with acupoint intradermal block injection in the first stage of labor[J].Journal of Gansu University of Chinese Medicine,2018,35(02):79-83.[doi:10.16841/j.issn1003-8450.2018.02.22]
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香薰疗法联合穴位皮内阻滞注射在第一产程中的效果观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年02期
页码:
79-83
栏目:
针灸推拿
出版日期:
2018-04-25

文章信息/Info

Title:
Observation on the effect of aromatherapy combined with acupoint intradermal block injection in the first stage of labor
作者:
祝丽娟 徐亚黎 汪得芳
浙江中医药大学第一临床医院产科, 浙江 杭州 310018
Author(s):
ZHU Lijuan XU Yali WANG Defang
Obstetrical Department, the First Clinical Hospital of Zhejiang University of Chinese Medicine, Hangzhou, Zhejiang, 310018, China
关键词:
第一产程产妇香薰疗法子宫穴八髎穴皮内阻滞注射临床观察
Keywords:
the first stage of laborprimiparaaromatherapyZigong (EX-CA1)Baliao Acupointintradermal block injectionclinical observation
分类号:
R246.3
DOI:
10.16841/j.issn1003-8450.2018.02.22
摘要:
目的 观察香薰疗法联合子宫穴、八髎穴皮内阻滞注射在第一产程中的临床疗效。方法 将255例足月自然分娩初产妇随机分为3组,各85例。临产后A组采用自由体位,B组在A组的基础上给予香薰疗法,C组在B组的基础上给予穴位皮内阻滞注射。第一产程结束后分别计算3组在潜伏期及活跃期的视觉模拟评分法(VAS)评分、焦虑自评量表(SAS)评分及第一产程持续时间。结果 与同组镇痛前比较,A,B组潜伏期及活跃期VAS评分均显著升高(P<0.01),C组潜伏期VAS评分显著降低(P<0.01),活跃期VAS评分显著升高(P<0.01);与同组潜伏期比较,3组活跃期VAS评分均显著升高(P<0.01);与A,B组比较,C组活跃期及潜伏期VAS评分均显著降低(P<0.01)。与同期A组比较,B,C组潜伏期与活跃期SAS评分均低于A组(P<0.01)。与同期A组比较,B,C组潜伏期与活跃期持续时间均短于A组(P<0.01)。A组活跃期重度疼痛产妇占100.0%,B组占100.0%,C组占29.4%,C组明显低于A,B组(P<0.01)。A组焦虑比例为96.4%,B组为42.2%,C组为38.8%,B,C组焦虑比例明显低于A组(P<0.01)。结论 香薰疗法联合子宫穴、八髎穴皮内阻滞注射,能有效缓解产妇焦虑紧张的情绪、降低分娩疼痛、缩短第一产程、促进自然分娩。
Abstract:
Objective To observe the clinical effect of aromatherapy combined with Zigong (EX-CA1) and Baliao Acupoint intradermal block injection in the first stage of labor.Methods 255 cases of primipara who had the spontaneous full term delivery were randomly divided into 3 groups,85 cases in each. After delivery,group A was asked for taking the free posture,group B received aromatherapy on the basis of group A,and group C received acupoint intradermal block injection on the basis of group B.The VAS scores,SAS scores and duration of the first stage of labor of 3 groups in the incubation period and active period were calculated after the first stage of labor.Results Compared with the same group before the analgesia,the VAS scores in both group A and B increased significantly in the incubation period and active period (P<0.01),the VAS scores of the incubation period in group C decreased significantly(P<0.01),and the VAS scores in the active period increased significantly(P<0.01).Compared with the incubation period of the same group,the VAS scores of the active period were significantly increased (P<0.01).Compared with group A and B,the VAS scores of the active period and the incubation period in the group C were significantly lower (P<0.01). Compared with group A in the same period,the SAS scores of the incubation period and active period in group B and C were both lower than those in group A (P<0.01). Compared with group A in the same period,the duration of the first stage of labor in group B and C was shorter than that in group A (P<0.01). In group A,puerpera with severe pain accounted for 100.0%,group B accounted for 100.0%,and group C accounted for 29.4%. Group C was significantly lower than group A and B (P<0.01). The anxiety ratio in group A was 96.4%,42.2% in group B,and 38.8% in group C. The anxiety ratio in group B and C was significantly lower than that in group A (P<0.01). Conclusion Aromatherapy combined with acupoint intradermal block injection on Zigong (EX-CA1) and Baliao Acupoint can effectively relieve the anxiety of primipara,reduce the pain of childbirth,shorten the first stage of labor,and promote natural delivery.

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备注/Memo

备注/Memo:
收稿日期:2017-11-09。
作者简介:祝丽娟(1974-),女,主管护师,医学学士,主要从事非药物分娩镇痛研究及临床助产工作。
更新日期/Last Update: 1900-01-01