[1]徐梅,李春岩.针刺联合硬膜外阻滞在分娩镇痛中的应用及安全性分析[J].陕西中医,2018,(10):1473-1475.
 Xu Mei,Li Chunyan..Application of acupuncture combined with epidural analgesia in labor analgesia and its safety analysis[J].,2018,(10):1473-1475.
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针刺联合硬膜外阻滞在分娩镇痛中的应用及安全性分析

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2018年10期
页码:
1473-1475
栏目:
针灸经络
出版日期:
2018-12-31

文章信息/Info

Title:
Application of acupuncture combined with epidural analgesia in labor analgesia and its safety analysis
文章编号:
DOI: 10.3969/j.issn.1000-7369.2018.10.050
作者:
徐梅1李春岩2
1.泰山医学院附属青岛医院产科(青岛266109),2.山东省青岛市城阳人民医院麻醉手术科(青岛 266000)
Author(s):
Xu MeiLi Chunyan.
Department of Obstetrics,Qingdao Hospital Affiliated to Taishan Medical University(Qingdao 266109)
关键词:
分娩/针刺疗法疼痛穴合谷穴三阴交
Keywords:
Key words Parturition/acupuncture therapyPainPoint LI4(Hegu)Point SP6(Sanyinjiao)
分类号:
R246.2
文献标志码:
A
摘要:
摘要 目的:研究针刺联合硬膜外阻滞在分娩镇痛中的应用效果及其安全性。方法:将124例进行分娩镇痛的初产妇为研究对象,对其进行随机分组,对照组62例采用硬膜外阻滞镇痛组,研究组62例采用针刺联合硬膜外阻滞镇痛,比较两组镇痛前、镇痛后30 min、1 h以及产妇宫口全开VAS评分情况,并比较患者催产素用量、镇痛用药量、分娩结局、新生儿Apgar 评分情况。结果:两组患者各时间点VAS 评分、分娩结局、新生儿Apgar 评分差异无统计学意义(P>0.05),对照组硬膜外镇痛用药量为(21.2±6.4)ml高于研究组镇痛用药(17.1±4.3)ml;对照组催产素用量为(22.7±1.8)U,高于研究组的(20.1±5.2)U。结论:针刺联合硬膜外阻滞应用于分娩镇痛,可减少镇痛药物和催产组的用量,安全性和镇痛有效性均较好。
Abstract:
Abstract Objective: To study the effect and safety of acupuncture combined with epidural analgesia in labor analgesia. Methods: A total of 124 cases of labor-induced analgesia were randomly divided into two groups. 62 cases in the control group were treated with epidural block analgesia. Sixty-two patients were treated with acupuncture combined with epidural analgesia to compare their VAS scores before analgesia,30 minutes after analgesia,and 1 hour after analgesia,and compared the amount of oxytocin and analgesic dose. Delivery outcomes,newborn Apgar scores. Results: There was no significant difference in VAS scores,delivery outcomes,and neonatal Apgar scores at each time point between the two groups (P>0.05). The control group had (21.2±6.4) ml of epidural analgesia over the study group. Pain medication (17.1±4.3) ml; control group oxytocin dosage (22.7±1.8) U,higher than the study group (20.1±5.2) U. Conclusion: Acupuncture combined with epidural anesthesia for labor analgesia can reduce the amount of analgesic drugs and oxytocin administration groups,and has better safety and analgesic efficacy.

参考文献/References:


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更新日期/Last Update: 2019-01-07