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目的:研究分析中医穴位按摩与硬膜外麻醉镇痛的分娩效果。方法:回顾广州市番禺区何贤纪念医院2014年4月至2016年4月分娩初产妇100例资料并根据干预方式随机分组。药物镇痛组采用硬膜外麻醉镇痛分娩;穴位按摩组采用中医穴位按摩镇痛分娩。比较两组产妇实施镇痛前后疼痛的程度;产程时间:第一产程时间、第二产程时间、第三产程时间;分娩方式:阴道自然分娩、阴道助产分娩、剖宫产。结果:在实施镇痛前,两组疼痛程度比较,差异均无统计学意义(P>0.05);实施镇痛后,穴位按摩组产妇疼痛程度显著低于药物镇痛组,差异具有统计学意义(P<0.05);穴位按摩组第一产程时间显著比药物镇痛组短,差异具有统计学意义(P<0.05),第二产程时间、第三产程时间两组比较,差异均无统计学意义(P>0.05);穴位按摩组阴道自然分娩率显著高于药物镇痛组,阴道助产分娩率、剖宫产率显著比药物镇痛组低,差异具有统计学意义(P<0.05)。结论:中医穴位按摩与硬膜外麻醉镇痛的分娩效果对比,中医穴位按摩效果更好,可减轻产妇疼痛,缩短第一产程时间,提高阴道自然分娩率。
Objective: To study the analgesic effect of traditional Chinese medicine acupoint massage and epidural anesthesia. Methods: To review 100 cases of primipara in April 2014 to April 2016 in He Xian Memorial Hospital of Panyu District, Guangzhou City, and randomly divided into groups according to the intervention methods. Drug analgesia group using epidural anesthesia analgesia childbirth; acupressure group massage acupuncture analgesia labor. The duration of the first stage of labor, the second stage of labor, the third stage of labor time; delivery mode: natural vaginal delivery, vaginal delivery, cesarean section. Results: Before the implementation of analgesia, there was no significant difference in the pain scores between the two groups (P> 0.05). After analgesia, the acupoint massage group was significantly less painful than the drug analgesia group, the difference was statistically significant (P <0.05). The time of the first stage of labor in acupressure group was significantly shorter than that of the drug-induced analgesia group (P <0.05), while there was no significant difference in the second stage of labor and the third stage of labor between the two groups (P> 0.05). The spontaneous vaginal delivery rate of acupoint massage group was significantly higher than that of drug analgesia group and vaginal midwifery delivery rate, and the rate of cesarean section was significantly lower than that of drug-induced analgesia group (P <0.05) . Conclusion: Compared with traditional Chinese medicine acupoint massage and epidural anesthesia analgesia delivery effect, Chinese acupoint massage effect is better, can reduce maternal pain, shorten the first stage of labor time and improve the vaginal natural delivery rate.