Effect of Transcutaneous Acupoint Electrical Stimulation for Labor Analgesia on Lactation Initiation
Objective:To investigate the analgesic effect of transcutaneous electrical acupoint stimulation(TEAS)on delivery and its effect on lactation initiation.Methods:90 parturient women who delivered vaginalis were selected as subjects,and divided into three groups according to their wills,which were percutaneous acupoint electrical stimulation labor analgesia(TEAS)group,patient-controlled epidural labor analgesia(PCEA)group and control group.The visual analogue scale(VAS),serum indexes[β-endorphin(β-EP),adrenocorticotropin(ACTH),5-hydroxytryptamine(5-HT),prolactin(PRL),oxytocin(OT)],lactation start time and labor outcome were compared among the 3 groups at different time points.Results:Compared with the control group,the VAS score of PCEA group and TEAS group decreased after analgesia(P<0.05),and VAS score of PCEA group was lower than that of TEAS group at the same time point(P<0.05).After analgesia,the levels of β-EP increased and the levels of ACTH and 5-HT decreased in PCEA group and TEAS group(P<0.05).The level of β-EP in PCEA group were higher than those in TEAS group,and the levels of ACTH and 5-HT was lower than those in TEAS group(P<0.05).The levels of PRL and OT in TEAS group were higher than those in control group and PCEA group at the same time point after analgesia(P<0.05).The starting time of lacta-tion was shorter in TEAS group(24.23±4.17)h than that in PCEA group and control group(P<0.05).Conclusion:The analgesic effect of TEAS is not as good as that of PCEA,but it can reduce the labor pain to the tolerance level,which is conductive to simula-ting lactation,promoting the initiation of lactation,and improving the safety of mother and fetus.
万方数据
维普
