首页|艾盐包热敷联合穴位按摩在自然分娩初产妇中的应用效果

艾盐包热敷联合穴位按摩在自然分娩初产妇中的应用效果

扫码查看
目的:观察艾盐包热敷联合穴位按摩在自然分娩初产妇中的应用效果.方法:选取 2019 年 8 月至 2022 年 8 月于该院自然分娩的 106 例初产妇进行前瞻性研究,按随机数字表法将其分为对照组和观察组各 53 例.对照组予以常规镇痛(拉马泽呼吸减痛法联合分娩球助产),观察组在对照组基础上采用艾盐包热敷联合穴位按摩.比较两组各产程疼痛程度[视觉模拟评分法(VAS)]评分、产程时间、干预前后舒适度[简化舒适状况量表(GCQ)]及不良母婴结局发生率.结果:观察组第一、第二、第三产程VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组第一、第二、第三产程时间及总产程时间均短于对照组,差异有统计学意义(P<0.05);干预后,两组生理、心理、社会文化和环境等GCQ评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良母婴结局发生率为 3.77%(2/53),低于对照组的 15.09%(8/53),差异有统计学意义(P<0.05).结论:艾盐包热敷联合穴位按摩联合常规镇痛方法可减轻自然分娩初产妇疼痛程度,缩短产程,提高舒适度评分,降低不良母婴结局的发生率,效果优于单用常规非药物镇痛方法.
Application effects of Moxa salt package hot compress combined with acupoint massage on natural childbirth primiparas
Objective:To observe application effects of Moxa salt package hot compress combined with acupoint massage on natural childbirth primiparas.Methods:A prospective study was conducted on 106 primiparas who underwent natural delivery in this hospital from August 2019 to August 2022.They were divided into control group and observation group according to the random number table method,53 cases in each group.The control group was given routine analgesia nursing(Lamaze breathing pain relief method combined with delivery ball midwifery),while the observation group was given the Moxa salt package hot compress combined with acupoint massage on the basis of those of the control group.The pain degree[visual analogue scale(VAS)]score,the labor time,the comfort degree before and after the intervention[general comfort questionnaire(GCQ)],and the incidence of adverse maternal and infant outcomes were compared between the two groups.Results:The VAS scores of the first,second and third stages of labor in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The first,second,third stage of labor and the total labor time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the GCQ scores of physiology,psychology,social culture and environment in the two groups were higher than those before the intervention,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse maternal and infant outcomes in the observation group was 3.77%(2/53),which was lower than 15.09%(8/53)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Moxa salt package hot compress,acupoint massage combined with conventional analgesia can reduce the pain degree of the primiparas in natural childbirth,shorten the labor process,improve the comfort scores,and reduce the incidence of adverse maternal and infant outcomes.Moreover,it is superior to single conventional non-drug analgesia.

Natural childbirthPrimiparaMoxa salt package hot compressAcupoint massagePain degreeComfortMaternal and infant outcome

邬丽平、漆彩霞、朱爱凤

展开 >

瑞州医院妇产科,江西 宜春 330800

自然分娩 初产妇 艾盐包热敷 穴位按摩 疼痛程度 舒适度 母婴结局

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(1)
  • 9