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120例正常分娩的妇女,随机分为针药组[电针+二氢埃托啡(DHE)]、电针组和对照组各40例,全部病例在宫口开大2cm 后进行实验操作和监测。结果提示:针药组镇痛效果最好,血浆皮质醇浓度最低,产程正常。电针组镇痛效果其次,血浆皮质醇浓度中废增加(P<0.05);而对照组病人均有不同程度的疼痛,产程相对延长,血浆皮质醇浓度明显升高(P<0.01);且自然分娩率降低,助产和手术产率高,新生儿 Apgar 评分低,存在新生儿缺氧情况。所以,针药复合分娩镇痛因镇痛剂用量小,从而减少镇痛药对产妇和胎儿的副作用,增加了分娩的安全性,并由于较单纯电针提高了无痛率。也缩短了产程。
120 cases of normal delivery of women, were randomly divided into acupuncture group [electro-acupuncture + dihydroetorphine (DHE)], EA group and control group of 40 cases, all cases in the cervix open 2cm after the experimental operation and monitor. The results suggest: acupuncture analgesia best, lowest plasma cortisol, normal labor. Electroacupuncture analgesic effect was followed by increased plasma cortisol concentration (P <0.05). Patients in the control group had varying degrees of pain, prolonged labor and plasma cortisol levels (P <0.01), and Natural delivery rate decreased, midwifery and surgical yield, neonatal Apgar score low, there is neonatal hypoxia. Therefore, acupuncture combined labor analgesics due to the small amount of analgesics, thereby reducing the side effects of analgesics on the mothers and fetuses, increased the safety of childbirth and increased painless than the simple electroacupuncture. Also shorten the production process.