耳穴磁珠按压对分娩镇痛中产妇体温、炎症反应及胎盘病理结果的影响

[Effect of auricular magnetic bead pressing on maternal body temperature, inflammatory response and placental pathological results in labor analgesia].

作者信息

Wen Ting, Li Gan, Chen Shi-Biao, Liu Jia

机构信息

Department of Anesthesiology, The First Affiliated Hospital of Nanchang University, Nanchang 330000, China.

Laboratory Medicine, Mental Hospital of Jiangxi Province, Nanchang 330000.

出版信息

Zhen Ci Yan Jiu. 2020 Dec 25;45(12):1010-3. doi: 10.13702/j.1000-0607.200115.

DOI:10.13702/j.1000-0607.200115

PMID:33415862

Abstract

OBJECTIVE

To observe the effects of auricular magnetic bead pressing on maternal body temperature, inflammatory response and placental pathological results in epidural labor analgesia.

METHODS

180 parturient who volunteered for labor analgesia were randomly divided into epidural group (=90, epidural labor analgesia) and auricular pressing group (=90, epidural labor analgesia combined auricular pressing). The tympanic temperature before labor analgesia (T1), 2 h (T2), 4 h (T3) and 4 h after labor analgesia (T4) were recorded. The total duration of labor, duration of labor analgesia, PCEA compression times, labor analgesia dose, cesarean section rate was counted, and the changes in serum IL-6 level and placental pathologyresults of the two groups were analyzed.

RESULTS

There was no significant difference in age, BMI, gestational age, duration of labor, duration of analgesia and rate of cesarean section between groups(>0.05). Times of PCEA compressions and labor analgesic dose in auricular group were lower than that in epidural group (<0.05). There was no difference in tympanic temperature between two groups at T1 (>0.05), and the tympanic temperature at T3 and T4 was higher than that at T1 (<0.05). The tympanic temperature in T3 and T4, and incidence of intrapartum fever in the auricular group was lower than that in the epidural group (<0.05).There was no difference in the prenatal serum IL-6 level between groups (>0.05), and the postpartum serum IL-6 level was higher than that before labor in either group (<0.05).The postpartum serum IL-6 level and the incidence of HCA in the auricular point group were lower than those in epidural group (<0.05).

CONCLUSION

Magnetic beads auricular pressing therapy has advantages in reducing intrapartum fever by modulating maternal inflammation and reducing the dosage of local anesthetics effectively during epidural labor analgesia.

摘要

目的

观察耳穴磁珠按压对硬膜外分娩镇痛产妇体温、炎症反应及胎盘病理结果的影响。

方法

将180例自愿要求分娩镇痛的产妇随机分为硬膜外组（n = 90，采用硬膜外分娩镇痛）和耳穴按压组（n = 90，采用硬膜外分娩镇痛联合耳穴按压）。记录分娩镇痛前（T1）、2小时（T2）、4小时（T3）及分娩镇痛后4小时（T4）的鼓膜温度。统计总产程、分娩镇痛时间、PCEA按压次数、分娩镇痛用药量、剖宫产率，并分析两组血清IL-6水平及胎盘病理结果的变化。

结果

两组产妇年龄、BMI、孕周、产程、镇痛时间及剖宫产率比较，差异无统计学意义（P > 0.05）。耳穴组PCEA按压次数及分娩镇痛用药量低于硬膜外组（P < 0.05）。两组T1时鼓膜温度比较，差异无统计学意义（P > 0.05），T3、T4时鼓膜温度高于T1时（P < 0.05）。耳穴组T3、T4时鼓膜温度及产时发热发生率低于硬膜外组（P < 0.05）。两组产前血清IL-6水平比较，差异无统计学意义（P > 0.05），两组产后血清IL-6水平均高于分娩前（P < 0.05）。耳穴组产后血清IL-6水平及HCA发生率低于硬膜外组（P < 0.05）。