中医穴位按摩联合自由体位对初产妇阴道分娩产程时间及产后出血量的影响

Impacts of the traditional Chinese medicine acupoint massage combined with freeposition during the stages of labor of primiparous with vaginal delivery on their duration of labor and postpartum bleeding volume

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摘要目的:探讨中医穴位按摩联合自由体位对初产妇阴道分娩产程时间及产后出血量的影响。方法:选取2021年6月-2023年6月于本院分娩的初产妇120例,随机分组,其中采用常规分娩模式产妇为常规组,采用中医穴位按摩联合自由体位分娩产妇为联合组,比较两组产程时间及产后出血量。结果:联合组阴道分娩率(91.7%)高于常规组(75.0%),第1产程(356.4±69.0 min)、第2产程(34.5±10.8 min)、第3产程(6.1±1.1 min)时间均短于常规组(442.2±82.6 min、46.1±14.5 min、9.6±1.5 min),分娩时疼痛等级≤2级占比(90.0%)高于常规组(68.3%),分娩控制感评分(178.41±19.68分)高于常规组(121.88±16.54分),产后出血量(208.4±30.0 ml)及分娩时并发症(11.7%)发生率低于常规组(292.5±37.3ml、31.7%)(均P<0.05)。结论:应用中医穴位按摩联合自由体位能够减少初产妇剖宫产率,缩短产程,减轻分娩疼痛,减少产后出血量,降低分娩并发症发生。 Objective:To explore the impacts of the traditional Chinese medicine acupoint massage combined with freeposition during the stages of labor of primiparous with vaginal delivery on their duration of labor and postpartum bleeding volume.Methods:A total of 120 primiparous who wanted vaginal delivery were selected and were randomly divided into two groups from June 2021 to June 2023.The primiparous in the control group were given conventional delivery mode,while the primiparous in the study group were given traditional Chinese medicine acupoint massage combined with free position delivery mode.The duration of labor and the postpartum bleeding volume of the primiparous were compared between the two groups.Results:The rate of vaginal delivery(91.7%)of the primiparous in the study group was significantly higher than that(75.0%)of the primiparous in the control group.The first stage of labor duration(356.4±69.0 min),the second stage of labor duration(34.5±10.8 min)and the third stage of labor duration(6.1±1.1 min)of the primiparous in the study group were significantly shorter than those(442.2±82.6min,46.1±14.5min and 9.6±1.5min)of the primiparous in the control group.The proportion of the pain degree≤2 grade during delivery(90.0%)and the delivery control score(178.41±19.68 points)of the primiparous in the study group were significantly higher than those(68.3%and 121.88±16.54 points)of the primiparous in the control group.The amount of postpartum hemorrhage(208.4±30.0ml)and the incidence of complications during delivery(11.7%)of the primiparous in the study group were significantly lower than those(292.5±37.3ml and 31.7%)of the primiparous in the control group(all P<0.05).Conclusion:the traditional Chinese medicine acupoint massage combined with freeposition during the stages of labor of the primiparous can reduce their cesarean section rate,shorten their stages of labor in vaginal delivery,alleviate their labor pain,reduce their postpartum bleeding,and decrease their complications during delivery.

作者彭玉芳王晓娥刘亚丹张静江明 PENG Yufang;WANG Xiao-e;LIU Yadan;ZHANG Jing;JIANG Ming(Liaocheng Second People's Hospital,Liaocheng,Shandong Province,252600)

机构地区山东省聊城市第二人民医院

出处《中国计划生育学杂志》 2024年第9期2104-2107,共4页 Chinese Journal of Family Planning

关键词初产妇阴道分娩中医穴位按摩自由体位产程产后出血量分娩控制感评分分娩疼痛 Primiparous Vaginal delivery Traditional Chinese Medicine acupoint massage Free position Stages of labor Postpartum bleeding volume Delivery control score Labor pain

分类号 R714.3 [医药卫生—妇产科学]