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导乐仪联合耳穴贴压及穴位敷贴对自然分娩产妇数字评分量表得分、产程及新生儿阿氏评分的影响

Effects of a Doula instrument combined with auricular acupuncture and acupoint application on numerical rating scale scores, labour time of puerperae with a natural delivery and Apgar scores of the newborns.

作者信息

Sun Bing, Ren Jing, Yang Ying, Yang Chunhong

机构信息

Bing Sun, Department of Obstetrics, Baoding Maternal and Child Health, Hospital Baoding, 071000, Hebei, China.

Jing Ren, Department of Obstetrics, Baoding Maternal and Child Health, Hospital Baoding, 071000, Hebei, China.

出版信息

Pak J Med Sci. 2023 Nov-Dec;39(6):1793-1797. doi: 10.12669/pjms.39.6.7451.

DOI:10.12669/pjms.39.6.7451
PMID:37936723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10626107/
Abstract

OBJECTIVE

To determine how a combination of auricular acupuncture, acupoint application and the Doula instrument affects numerical rating scale (NRS) scores, labour time of puerperae and the Apgar scores of newborns during natural delivery.

METHODS

This is a retrospective study. From January 2021 to December 2022, clinical data were collected from 90 healthy primiparae who completed natural delivery at Baoding Maternal and Child Health Hospital. They were divided into two groups based on different perinatal intervention methods. While the Doula instrument was used for the control group's perinatal intervention, the study group received a combination of auricular acupuncture, acupoint application and the Doula instrument during their perinatal period.

RESULTS

The NRS score of the study group was lower than that of the control group, demonstrating that their intergroup difference is statistically significant ( < 0.05). The incubation period, the active phase of the first stage of labour and the time of the second and third stages of work are shorter in the study group than in the control group ( < 0.05). Intergroup comparison of their one and five minutes Apgar scores demonstrates no statistically significant differences ( > 0.05). Expression levels in the study group are higher than in the control group five minutes after delivery ( < 0.05).

CONCLUSIONS

In this case, a perinatal intervention comprising auricular acupuncture, acupoint application and the Doula instrument was used for puerperae undergoing natural delivery.

摘要

目的

探讨耳针、穴位敷贴联合导乐仪对自然分娩产妇数字评分量表(NRS)评分、产程及新生儿阿氏评分的影响。

方法

本研究为回顾性研究。收集2021年1月至2022年12月在保定市妇幼保健院完成自然分娩的90例健康初产妇的临床资料。根据围产期不同干预方法将其分为两组。对照组围产期采用导乐仪干预,研究组围产期采用耳针、穴位敷贴联合导乐仪干预。

结果

研究组NRS评分低于对照组,组间差异有统计学意义(<0.05)。研究组潜伏期、第一产程活跃期及第二、三产程时间均短于对照组(<0.05)。两组1分钟和5分钟阿氏评分组间比较差异无统计学意义(>0.05)。研究组产后5分钟时表达水平高于对照组(<0.05)。

结论

本研究中,对自然分娩产妇采用耳针、穴位敷贴联合导乐仪进行围产期干预。