摘要
目的探讨艾灸三阴交穴对正常分娩宫缩痛及母婴安全性影响。方法将210名正常分娩单胎头位初产妇随机分为干预组、非穴组及对照组,宫口开大2～3cm时干预组艾灸三阴交、非穴组艾灸非穴点各30min,对照组行常规产程护理,比较3组产妇宫缩痛及母婴安全性差异。结果宫缩痛医生评分:艾灸30min,干预组分娩镇痛有效率为69.49%,高于非穴组、对照组的45.61%,43.10%,差异有统计学意义(P<0.05);宫缩痛视觉模拟评分法(VAS)评分:艾灸15,30min,干预组VAS得分分别为(88.661±7.508),(87.542±7.330)分;非穴组为(91.825±7.300),(92.246±7.209)分,对照组为(91.897±8.454),(93.121±7.669)分,干预组分娩疼痛程度低于非穴组及对照组,差异有统计学意义(P<0.05);产后出血量:干预组为(187.12±50.653)mL,少于非穴组和对照组的(216.67±54.456),(214.90±54.787)mL;新生儿Apgar评分:干预组(9.965±0.186)分,高于非穴组和对照组的(9.949±0.289),(9.707±0.593)分,差异有统计学意义(P<0.05)。结论艾灸三阴交穴能减轻宫缩痛,减少产后出血,对母婴无不良影响。
Objective To study the effect of moxibustion at acupuncture point Sanyinjiao on the pain of uterine contraction in normal delivery and the safety of mothers and infants.Methods Totally 210 primiparas were selected and divided into three groups with a randomly single-blinded method：observation,blank and non-point moxibustion control group.When cervical dilatation being 2-3cm,we used moxibustion at Sanyinjiao and other point separately for 30min.Regulation of labor care was used for blank group.We compared the difference of uterine contraction pain and the safety of mothers and infants in the three groups.Results With the obsevation score of the doctors,the effective rate delivery analgesia of the observation group was 69.49%,higher than that of non-point moxibustion control group（45.61%） and blank group（43.10%） with a statistically significant difference（P0.05）.For the 15min and 30min point moxibustion,the visual analogue scale（VAS） scores of uterine contraction pain of the observation group were 88.661±7.508 and 87.542±7.330,less than that of non-point moxibustion control group（91.825±7.300,92.246±7.209）and blank group（91.897±8.454,93.121±7.669）,（P0.05）.The amount of bleeding after childbirth of the observation group（187.12±50.653 ml） was less than that of other two groups（216.67±54.456 ml,214.90±54.787ml;P0.05）.The Apgar scores of newborns of the observation group（9.965±0.186） was higher than that of other two groups（9.949±0.289,9.707±0.593;P0.05）.Conclusion Moxibusting at Sanyinjiao can relieve delivery pain,reduce the amount of postpartum bleeding and has no harmful effects for mothers and infants.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2010年第6期730-731,共2页
Chinese Journal of Public Health
基金
唐山市科学技术研究与发展计划基金支撑课题(08130206C)
关键词
艾灸
三阴交穴
分娩镇痛
母婴
moxibustion
acupuncture point Sanyinjiao
delivery analgesia
mother and infant
