山西医药杂志
山西醫藥雜誌
산서의약잡지
Shanxi Medical Journal
2015年
18期
2113-2115
,共3页
生物反馈%经皮神经电刺激%镇痛
生物反饋%經皮神經電刺激%鎮痛
생물반궤%경피신경전자격%진통
Biofeedback%Transcutaneous electric nerve stimulation%Analgesia
目的：探讨生物反馈式的经皮电刺激在自然分娩镇痛中的应用。方法选择2014年3月至2015年3月我院收治的产妇120例，随机分为A、B、C 3组，每组各40例。A组产妇给予生物反馈式的经皮电刺激镇痛；B组产妇给予椎管内注药镇痛；C组产妇不实施镇痛干预。对3组产妇在镇痛前即刻、镇痛后1h、镇痛后2 h及宫口开全时的疼痛视觉模拟评分（VAS），第一产程时间、第二产程时间、满意度及新生儿的Apgar 评分进行比较。结果①A组和B组产妇在镇痛后1 h、镇痛后2 h及宫口开全时的VAS评分均明显低于镇痛前即刻和C组产妇，差异具有统计学意义（ P ＜0.05）；而A组产妇在镇痛后1 h、镇痛后2 h及宫口开全时的VAS评分与B组产妇相比，差异无统计学意义（ P＞0.05）。②A组产妇的第一产程、第二产程时间均明显短于B组和C组，差异具有统计学意义（ P ＜0.05）；A 组产妇的满意度明显高于B组和C组，差异具有统计学意义（ P ＜0.05）。③3组新生儿的1 min Apgar评分和5 min Apgar评分相比较，差异无统计学意义（ P ＞0.05）。结论对产妇实施生物反馈式的经皮电刺激镇痛干预，可明显缩短产程，提高满意度，值得临床推广与应用。
目的：探討生物反饋式的經皮電刺激在自然分娩鎮痛中的應用。方法選擇2014年3月至2015年3月我院收治的產婦120例，隨機分為A、B、C 3組，每組各40例。A組產婦給予生物反饋式的經皮電刺激鎮痛；B組產婦給予椎管內註藥鎮痛；C組產婦不實施鎮痛榦預。對3組產婦在鎮痛前即刻、鎮痛後1h、鎮痛後2 h及宮口開全時的疼痛視覺模擬評分（VAS），第一產程時間、第二產程時間、滿意度及新生兒的Apgar 評分進行比較。結果①A組和B組產婦在鎮痛後1 h、鎮痛後2 h及宮口開全時的VAS評分均明顯低于鎮痛前即刻和C組產婦，差異具有統計學意義（ P ＜0.05）；而A組產婦在鎮痛後1 h、鎮痛後2 h及宮口開全時的VAS評分與B組產婦相比，差異無統計學意義（ P＞0.05）。②A組產婦的第一產程、第二產程時間均明顯短于B組和C組，差異具有統計學意義（ P ＜0.05）；A 組產婦的滿意度明顯高于B組和C組，差異具有統計學意義（ P ＜0.05）。③3組新生兒的1 min Apgar評分和5 min Apgar評分相比較，差異無統計學意義（ P ＞0.05）。結論對產婦實施生物反饋式的經皮電刺激鎮痛榦預，可明顯縮短產程，提高滿意度，值得臨床推廣與應用。
목적：탐토생물반궤식적경피전자격재자연분면진통중적응용。방법선택2014년3월지2015년3월아원수치적산부120례，수궤분위A、B、C 3조，매조각40례。A조산부급여생물반궤식적경피전자격진통；B조산부급여추관내주약진통；C조산부불실시진통간예。대3조산부재진통전즉각、진통후1h、진통후2 h급궁구개전시적동통시각모의평분（VAS），제일산정시간、제이산정시간、만의도급신생인적Apgar 평분진행비교。결과①A조화B조산부재진통후1 h、진통후2 h급궁구개전시적VAS평분균명현저우진통전즉각화C조산부，차이구유통계학의의（ P ＜0.05）；이A조산부재진통후1 h、진통후2 h급궁구개전시적VAS평분여B조산부상비，차이무통계학의의（ P＞0.05）。②A조산부적제일산정、제이산정시간균명현단우B조화C조，차이구유통계학의의（ P ＜0.05）；A 조산부적만의도명현고우B조화C조，차이구유통계학의의（ P ＜0.05）。③3조신생인적1 min Apgar평분화5 min Apgar평분상비교，차이무통계학의의（ P ＞0.05）。결론대산부실시생물반궤식적경피전자격진통간예，가명현축단산정，제고만의도，치득림상추엄여응용。
Objective To investigate application of transcutaneous electric stimulation by biofeedback in ob‐stetrical analgesia.Methods A total of 120 cases of parturients in our hospital from March 2014 to March 2015 were randomly divided into A ,B and C group .Group A was given transcutaneous electric stimulation by biofeed‐back ,and group B was given intrathecal injection ,while group C did not perform any intervention .Labor pain VAS score ,the first stage of labor ,the second stage of labor ,degree of satisfaction and neonatal Apgar score of parturients in three groups were compared.Results ①Labor pain VAS score of parturients in group A and group B at 1 ,2 h after analgesia and full dilatation were significantly lower than those before analgesia and group C ( P<0 .05) .There was no difference between group A and group B in labor pain VAS score of parturients at 1 h ,2 h after analgesia and full dilatation .②The first stage of labor and the second stage of labor of parturients in group A were significantly shorter than those in group B and group C ( P <0 .05) .Degree of satisfaction of parturients in group A was significantly higher than that in group B and group C ( P <0 .05) .③ There were no significant difference of the three groups in 1 min Apgar score and 5 min Apgar score .Conclusion Transcutaneous electric stimulation by biofeedback in obstetrical analgesia can effectively shorten birth process ,and enhance satisfaction . It is worthy of clinical application.
