目的观察穴位按摩联合椎管内麻醉在初产妇分娩镇痛中的应用效果及安全性。方法选取在该院进行分娩的初产妇180例,将其分为A、B、C 3组。A组于产程潜伏期应用穴位按摩进行镇痛,进入活跃期后实施椎管内麻醉;B组仅于活跃期给予椎管内麻醉。观察3组患者潜伏期和活跃期VAS评分、产后出血量、新生儿1min Apgar评分以及潜伏期、活跃期、第二产程用时。结果 A组潜伏期VAS评分低于B组和C组,A组和B组活跃期VAS评分低于C组,差异均有统计学意义(P<0.05)。3组产后出血及新生儿1min Apgar评分差异无统计学意义(P>0.05)。各组产妇各产程用时差异无统计学意义(P>0.05)。结论潜伏期进行穴位按摩联合活跃期椎管内麻醉可有效减轻分娩疼痛,且未影响母婴生命安全及产程。 Objective To observe the effect and safety of acupoint massage and spinal anesthesia in maternal labor analgesia. Methods 180 cases of primipara in the hospital were selected and divided into groups A, B and C 3. A group of patients in the incubation period of application of acupressure for analgesia, into the active period after spinal anesthesia; B group only in the active period of spinal anesthesia. The latency, active VAS score, postpartum hemorrhage, Apgar score at 1 minute, latency, active period and the second stage of labor were observed in the three groups. Results The latency of VAS in group A was lower than those in group B and C, and the VAS scores in group A and group B were lower than those in group C (P <0.05). There was no significant difference in Apgar scores between 3 groups of postpartum hemorrhage and neonatal 1 min (P> 0.05). There was no significant difference in the duration of labor between different groups (P> 0.05). Conclusions Acupoint massage combined with active spinal anesthesia during the incubation period can effectively relieve the pain during labor and does not affect the life safety and labor process.