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针药结合分娩镇痛的临床研究

Clinical Study on Painless Labor under Drugs Combined with Acupuncture Analgesia

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【作者】 金有慧; 吴连方; 严平; 王宏; 赵恩慈; 赵卫红; 池心佐; 夏勇; 崔仁鳞; 王欣;

【Author】 Jin Youhui; Wu Lianfang; Xia Yong; et al.(Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, 100006 )( Beijing Chllege of Tnditional Chinese Mndicine, Beijing, 100029 )

【机构】 首都医科大学附属北京妇产医院!北京; 100006; 北京天坛医院; 北京宣武医院; 北京中医学院; 中国中医研?;

【摘要】 对462例正常足月初产妇临产后分别采用了针刺、镇痛药。磁疗和耳穴贴压、TENS、二氢埃托啡针药复合等镇痛方法,并以产时宫内压力、外周血β-内啡肽含量的变化为指标和健康人模拟产痛和针药镇痛之作感诱发电位实验探讨其镇痛效应。结果提示:针药复合镇痛法有效率高达97.5%,母婴安全,无并发症。实验证明:针药结合能缓解子宫高张状态,协调子宫收缩,提高痛阈,提高对官缩疼痛的耐受性。结论:“耳穴贴压、TENS、埃托啡”外药复合分娩镇痛法安全、简便、有效,便于推广。

【Abstract】 To study the analgesia efficacy of drugs combined with acupuncture analgesia fir painless labir,462 normal pregnancy women were observed. During the latent phase in labor, several analgesia meth-ods: acupuncture analgesia, analgesics, magnetotherapy and auricular acupressure, TENS combinedwith dihydroetorphine were used respectively. While the intrauterine pressure and the peripheral con-tent of β-EP were measured during labor, the experiments of SEPS were also performed on healthyadults to demonstrate the analgesia efficacy of those analgesia methods.The combination of drugs with acupuncture is an excellent method for painless labor without anycomplications and all the mothers and babies are safety. The effectiveness is 97. 5%. The resultsdemonstrate that the mechanism of analgesia efficacy should be regulated the incoordinate uterine ac-tion and improve the hypertonic status of uterus, but also can decrease the pain threshold and elevatethe tolerance of uterine contractions during labor.

【关键词】 分娩镇痛; 针药结合; 针刺镇痛;
  • 【文献出处】 针刺研究 ,Acupuncture Research , 编辑部邮箱 ,1996年03期
  • 【分类号】R246.3
  • 【被引频次】22
  • 【下载频次】137
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