[1]张广霞,张 芳,张孝平,等.中药穴位贴敷联合硬膜外麻醉镇痛对瘢痕子宫再次妊娠经阴分娩产妇妊娠结局影响*[J].陕西中医,2019,(12):1725-1727，1744.
　ZHANG Guangxia,ZHANG Fang,ZHANG Xiaoping,et al.Effect of acupoint placement of traditional Chinese medicine combined with epidural anesthesia on outcomes of women under vaginal birth after cesarean section[J].,2019,(12):1725-1727，1744.
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中药穴位贴敷联合硬膜外麻醉镇痛对瘢痕子宫再次妊娠经阴分娩产妇妊娠结局影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年12期
页码:
1725-1727，1744
栏目:
临床研究
出版日期:
2019-12-05

文章信息/Info

Title:
Effect of acupoint placement of traditional Chinese medicine combined with epidural anesthesia on outcomes of women under vaginal birth after cesarean section
文章编号:
DOI:10.3969/j.issn.10007369.2019.12.018
作者:
张广霞; 张 芳; 张孝平; 曹宁宁; 王 晓; 陈 敏△
山东省聊城市东昌府区妇幼保健院孕产保健部（聊城 252000）
Author(s):
ZHANG Guangxia; ZHANG Fang; ZHANG Xiaoping; et al.
Department of Obstetrics and Gynecology,Dongchangfu District Maternal and Child Hospital Liaocheng in Shandong Province （Liaocheng 252000）
关键词:
中药穴位贴敷; 硬膜外麻醉; 镇痛分娩; 瘢痕子宫再次妊娠经阴分娩; 焦虑; 妊娠结局
Keywords:
Key words Acupoint placement of traditional Chinese medicine; Epidural anesthesia; Labor analgesia; Vaginal birth after cesarean section; Anxiety; Maternal and neonatal outcomes
分类号:
R271.1
文献标志码:
A
摘要:
摘 要 目的：分析中药穴位贴敷联合麻醉镇痛分娩对瘢痕子宫再次妊娠经阴分娩(VBAC)产妇妊娠结局，探讨中药穴位贴敷联合麻醉镇痛分娩的可行性。方法：选取VBAC成功的孕妇，随机分为研究组70例和对照组70例。对照组采用硬膜外麻醉镇痛分娩，研究组在麻醉镇痛分娩基础上辅以中药穴位贴敷。比较两组产妇的疼痛程度、产程时间、产后出血量、焦虑情况、疼痛评分、满意率及新生儿结局等发生情况。结果：研究组与对照组比较，焦虑、疼痛程度轻、产程时间短、产后出血量少、满意度高，差异具有统计学意义（P＜005）。两组新生儿出生体重、Apgar评分比较差异无统计学意义（P＞005）。结论：在产程中应用中药穴位贴敷联合麻醉镇痛分娩法，可减轻焦虑、疼痛、缩短产程、减少产后出血量、提高满意率；对新生儿无不良影响；比单纯麻醉镇痛分娩对VBAC产妇的妊娠结局更好。
Abstract:
Abstract Objective:To explore the feasibility and safety of pain relief with acupoint application combined epidual analgesia on the outcome of women in vaginal birth after cesarean section (VBAC).Methods:Women with scar uterine willing to have VBAC were randomly divided into the study group(70 cases) and the control group(70 caces). Epidual analgesia was used in the control group,and the study group was supplemented by acupoint application of traditional Chinese medicine combined with analgesic. Level of anxiety,the pain score,labor process time,volume of postpartum hemorrhage,mother’s satisfaction rate and neonatal outcome of the two groups were recorded and analyzed. Result:Study group had lower level of anxiety and pain score degree,short labor time,less postpartum hemorrhage and high satisfaction rate than that in controlled group ,and the difference was statistically significant (P＜005).There was no significant difference in birth weight and Apgar scores between the two groups (P＞005).Conclusion:Traditional Chinese medicine acupoint application combined with epidural anesthesia in women under VBAC can reduce anxiety and pain score,shorten labor,reduce postpartum hemorrhage,improve mother’s satisfaction rate,no adverse effects on newborns,better than using anesthesia method alone. 

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备注/Memo

备注/Memo:
*山东省医药卫生科技发展计划项目（2018WSA15056）
更新日期/Last Update: 2019-12-19