耳穴按压在初产妇分娩镇痛中的应用
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摘要
目的探讨耳穴按压法在初产妇分娩镇痛中的应用效果。方法选取2017年1—5月我科室住院分娩的足月正常初产妇42例,将产妇随机分为观察组20例和对照组22例,对照组采用腰硬联合麻醉方法止痛,观察组采用耳穴按压止痛。比较两组镇痛方式的镇痛效果、产程时间、分娩方式及产后出血量。结果两组产妇镇痛效果、产程时间、分娩方式、产后出血量比较差异均无统计学意义(P> 0. 05)。结论耳穴按压简便、安全、起效快、效果好,同时其良好的止痛效果可减少麻醉药物应用的成瘾性,可用于分娩镇痛、术后止痛以及肿瘤患者的疼痛治疗,值得在临床推广应用。
Objective To explore the application effect of auricular acupoint pressing in delivery analgesia for primipara. Methods To compared analgesic effect,duration of labor,delivery mode and postpartum hemorrhage,42 cases of normal primipara with full-term admitted in our department from January to May of 2017 were observed,and were randomly divided into study group with 20 cases and control group with 22 cases. The control group adopted the combined spinal epidural anesthesia treatment,while the study group adopted the auricular acupoint pressing treatment. Results There was no statistical significance in the difference of analgesic effect,duration of labor,delivery mode and postpartum hemorrhage between the two groups( P > 0. 05).Conclusion Auricular acupoint pressing is one treatment of simple,safe,quick and effective which could reduce the addiction of analgesia application,and could be used for labor analgesia,postoperative pain relief and that for tumor patients,which was worthy of clinical promotion and application.
Objective To explore the application effect of auricular acupoint pressing in delivery analgesia for primipara. Methods To compared analgesic effect,duration of labor,delivery mode and postpartum hemorrhage,42 cases of normal primipara with full-term admitted in our department from January to May of 2017 were observed,and were randomly divided into study group with 20 cases and control group with 22 cases. The control group adopted the combined spinal epidural anesthesia treatment,while the study group adopted the auricular acupoint pressing treatment. Results There was no statistical significance in the difference of analgesic effect,duration of labor,delivery mode and postpartum hemorrhage between the two groups( P > 0. 05).Conclusion Auricular acupoint pressing is one treatment of simple,safe,quick and effective which could reduce the addiction of analgesia application,and could be used for labor analgesia,postoperative pain relief and that for tumor patients,which was worthy of clinical promotion and application.
引文
[1]李莉,姚晓玲.耳穴按压联合穴位注射用于产痛25例的临床疗效观察[J].世界中西医结合杂志,2015,10(11):1559-1562.
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[3]周淑敏,马士欣,徐亮,等.耳穴埋豆对剖宫产患者术后疼痛的影响[J].北京医学,2018,40(1):55-58.
[4]何炎鸿,薛建军,杨小霞.TKA中医镇痛方法概述[J].现代中医药,2017,37(2):86-88.
[5]邓雪皎,卢春霞,付静,等.论针刺深浅之“刺皮”[J].中医杂志,2018,59(6):482-485.
[6]李俏梅,段红梅,刘文文.耳穴埋豆治疗失眠的临床观察[J].中医临床研究,2016,8(2):37-38.
[7]刘继君.围生期健康教育对剖宫产产妇分娩后疼痛、负面情绪及主观幸福感的影响[J].中国妇幼保健,2018,33(6):1213-1215.
[8]郑亚惜.舒适护理对减轻初产妇分娩疼痛和焦虑抑郁的影响分析[J].中外医学研究,2017,15(12):78-79.
[9]高淑霞.耳穴贴压配合抚触疗法用于剖宫产术后疼痛50例效果观察[J].护理研究,2015,29(32):2954-2955.
[10]张敏,姚晓玲,敖田华,等.针刺配合呼吸法及耳穴按压对分娩镇痛临床观察与研究[J].四川中医,2014,32(2):152-154.
[2]姚晓玲,张敏,李莉.针刺联合耳穴按压法对分娩镇痛的临床观察与研究[J].环球中医药,2014,7(12):958-960.
[3]周淑敏,马士欣,徐亮,等.耳穴埋豆对剖宫产患者术后疼痛的影响[J].北京医学,2018,40(1):55-58.
[4]何炎鸿,薛建军,杨小霞.TKA中医镇痛方法概述[J].现代中医药,2017,37(2):86-88.
[5]邓雪皎,卢春霞,付静,等.论针刺深浅之“刺皮”[J].中医杂志,2018,59(6):482-485.
[6]李俏梅,段红梅,刘文文.耳穴埋豆治疗失眠的临床观察[J].中医临床研究,2016,8(2):37-38.
[7]刘继君.围生期健康教育对剖宫产产妇分娩后疼痛、负面情绪及主观幸福感的影响[J].中国妇幼保健,2018,33(6):1213-1215.
[8]郑亚惜.舒适护理对减轻初产妇分娩疼痛和焦虑抑郁的影响分析[J].中外医学研究,2017,15(12):78-79.
[9]高淑霞.耳穴贴压配合抚触疗法用于剖宫产术后疼痛50例效果观察[J].护理研究,2015,29(32):2954-2955.
[10]张敏,姚晓玲,敖田华,等.针刺配合呼吸法及耳穴按压对分娩镇痛临床观察与研究[J].四川中医,2014,32(2):152-154.