Objective： To observe the clinical effects of acupuncture for relieving pain in delivery. Methods： 240 cases of parturients were randomly divided into a treatment group and a control group, 120 cases in each group. ...Objective： To observe the clinical effects of acupuncture for relieving pain in delivery. Methods： 240 cases of parturients were randomly divided into a treatment group and a control group, 120 cases in each group. The treatment was given by puncturing Kunlun （BL 60） immediately in the incubation period of labor course in the treatment group. The control group was treated by giving intermittent oxygen inhalation. Results： Pain was relieved obviously in the treatment group, with statistical significance compared with the control group （P〈0.01）. Conclusion： Acupuncture at Kunlun （BL 60） can relieve delivery pain of parturients during the delivery process and is a feasible painless method for delivery.展开更多
The term “painless delivery” originated from foreign countries and has a history of more than 100 years. It is actually called “childbirth analgesia” in medicine. Labor analgesia, as its name implies, is the use o...The term “painless delivery” originated from foreign countries and has a history of more than 100 years. It is actually called “childbirth analgesia” in medicine. Labor analgesia, as its name implies, is the use of various methods to reduce or even eliminate the pain during labor. With the development of anesthesiology and pain, it has been widely used in foreign countries, especially in some developed countries in the West. The rate of labor analgesia in the United States is > 85%, and even as high as 90% in Britain. The best childbirth analgesia should include side effect is small to puerpera and fetus, exact analgesic effect, quick effect, maintain time is long, can satisfy normal labor course;puerpera is awake, can cooperate childbirth and do not affect uterine contraction, and do not affect labor course progress. In 2000, WHO proposed that medical institutions should provide various labor analgesic services for parturient women to reduce labor pain as much as possible. Encourage the use of non-pharmaceutical analgesic techniques. In this paper, the effects of different modes of labor analgesia on neonates are described as follows.展开更多
目的分析无痛分娩中转为剖宫产麻醉方法选择的影响因素、术中指标和新生儿结局,为产妇提供安全有效的麻醉管理。方法收集2018年1月至2023年7月我院接受无痛分娩中转为剖宫产的单胎初产妇临床资料,根据麻醉方式分为全身麻醉(GA)组、持续...目的分析无痛分娩中转为剖宫产麻醉方法选择的影响因素、术中指标和新生儿结局,为产妇提供安全有效的麻醉管理。方法收集2018年1月至2023年7月我院接受无痛分娩中转为剖宫产的单胎初产妇临床资料,根据麻醉方式分为全身麻醉(GA)组、持续硬膜外麻醉(CEA)组、腰硬联合麻醉(CSEA)组,分析选择不同麻醉方法的影响因素、术中指标及新生儿结局。结果研究共纳入404例中转剖宫产的产妇,中转原因为胎儿宫内窘迫、头盆不称、产程异常、持续性枕横(后)位及社会因素。根据麻醉方法分为GA组39例、CEA组277例、CSEA组88例。CEA组、CSEA组胎儿宫内窘迫占比低于GA组,差异有统计学意义(P<0.05);CSEA组社会因素占比高于CEA组,差异有统计学意义(P<0.05)。CEA组、CSEA组产妇入室至切皮时间长于GA组,且CSEA组长于CEA组,差异有统计学意义(P<0.05);GA组、CEA组产妇术中补液量低于CSEA组,且CEA组低于GA组,差异有统计学意义(P<0.05);GA组、CEA组产妇术中低血压发生率明显低于CSEA组,差异有统计学意义(P<0.05);CEA组与CSEA组比较,CEA组麻醉平面更低、转化GA率及术中镇痛补救率更高、恶心呕吐发生率更低,差异有统计学意义(P<0.05)。新生儿出生后1 min、5 min、10 min Apgar评分差异无统计学意义(P>0.05)。结论无痛分娩中转剖宫产麻醉方法主要采用CEA,其次为CSEA,GA占比最低,3种麻醉方式均不影响新生儿评分;GA在胎儿宫内窘迫等紧急情况下采用更广泛,CEA与CSEA各具特点。展开更多
文摘Objective： To observe the clinical effects of acupuncture for relieving pain in delivery. Methods： 240 cases of parturients were randomly divided into a treatment group and a control group, 120 cases in each group. The treatment was given by puncturing Kunlun （BL 60） immediately in the incubation period of labor course in the treatment group. The control group was treated by giving intermittent oxygen inhalation. Results： Pain was relieved obviously in the treatment group, with statistical significance compared with the control group （P〈0.01）. Conclusion： Acupuncture at Kunlun （BL 60） can relieve delivery pain of parturients during the delivery process and is a feasible painless method for delivery.
文摘The term “painless delivery” originated from foreign countries and has a history of more than 100 years. It is actually called “childbirth analgesia” in medicine. Labor analgesia, as its name implies, is the use of various methods to reduce or even eliminate the pain during labor. With the development of anesthesiology and pain, it has been widely used in foreign countries, especially in some developed countries in the West. The rate of labor analgesia in the United States is > 85%, and even as high as 90% in Britain. The best childbirth analgesia should include side effect is small to puerpera and fetus, exact analgesic effect, quick effect, maintain time is long, can satisfy normal labor course;puerpera is awake, can cooperate childbirth and do not affect uterine contraction, and do not affect labor course progress. In 2000, WHO proposed that medical institutions should provide various labor analgesic services for parturient women to reduce labor pain as much as possible. Encourage the use of non-pharmaceutical analgesic techniques. In this paper, the effects of different modes of labor analgesia on neonates are described as follows.
文摘目的分析无痛分娩中转为剖宫产麻醉方法选择的影响因素、术中指标和新生儿结局,为产妇提供安全有效的麻醉管理。方法收集2018年1月至2023年7月我院接受无痛分娩中转为剖宫产的单胎初产妇临床资料,根据麻醉方式分为全身麻醉(GA)组、持续硬膜外麻醉(CEA)组、腰硬联合麻醉(CSEA)组,分析选择不同麻醉方法的影响因素、术中指标及新生儿结局。结果研究共纳入404例中转剖宫产的产妇,中转原因为胎儿宫内窘迫、头盆不称、产程异常、持续性枕横(后)位及社会因素。根据麻醉方法分为GA组39例、CEA组277例、CSEA组88例。CEA组、CSEA组胎儿宫内窘迫占比低于GA组,差异有统计学意义(P<0.05);CSEA组社会因素占比高于CEA组,差异有统计学意义(P<0.05)。CEA组、CSEA组产妇入室至切皮时间长于GA组,且CSEA组长于CEA组,差异有统计学意义(P<0.05);GA组、CEA组产妇术中补液量低于CSEA组,且CEA组低于GA组,差异有统计学意义(P<0.05);GA组、CEA组产妇术中低血压发生率明显低于CSEA组,差异有统计学意义(P<0.05);CEA组与CSEA组比较,CEA组麻醉平面更低、转化GA率及术中镇痛补救率更高、恶心呕吐发生率更低,差异有统计学意义(P<0.05)。新生儿出生后1 min、5 min、10 min Apgar评分差异无统计学意义(P>0.05)。结论无痛分娩中转剖宫产麻醉方法主要采用CEA,其次为CSEA,GA占比最低,3种麻醉方式均不影响新生儿评分;GA在胎儿宫内窘迫等紧急情况下采用更广泛,CEA与CSEA各具特点。
