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目的:探讨镇痛仪联合穴位按摩在初产妇中的应用效果。方法:将240例足月单胎头先露初产妇按随机数字表法分为A、B、C三组各80例,A组无生理镇痛干预,B组宫口≥3 cm给予导乐镇痛仪镇痛,C组在B组基础上于第一、二产程针对性地配合不同穴位按摩,按压强度以产妇感觉酸胀能耐受不引起异常宫缩为宜,比较三组干预效果。结果:A组阴道分娩率低于B、C组(P<0.05),视觉模拟评分法(VAS)评分高于B、C组(P<0.05),总产程长于B、C组(P<0.05);B组VAS评分高于C组(P<0.05),总产程长于C组(P<0.05)。结论:镇痛仪联合穴位按摩能够有效缩短初产妇总产程,减轻分娩疼痛,降低剖宫产率。
Objective: To investigate the application effect of analgesia combined with acupoint massage in primipara. Methods: A total of 240 full-term single-head first-born primiparae were randomly divided into A, B and C groups, 80 cases in each group. There was no physiological analgesia intervention in group A, Analgesic analgesia, C group in group B on the basis of the first and second stage of production with specific acupuncture massage, press intensity to maternal feel acidosis can not cause abnormal contractions is appropriate to compare the effects of three interventions . Results: The vaginal delivery rate in group A was lower than that in group B and C (P <0.05). The score of visual analogue scale (VAS) in group A was higher than that in group B and C (P <0.05) ). The VAS score of group B was higher than that of group C (P <0.05), and the total length of production was longer than that of group C (P <0.05). Conclusion: The combination of analgesia and acupoint massage can shorten the total labor of primipara, reduce labor pain and reduce the rate of cesarean section.