中医穴位按摩结合拉玛泽呼吸法对孕妇负性情绪及分娩结局的影响

2020-09-02梁培兰李利波

中外医学研究 2020年16期

梁培兰　李利波

【摘要】目的：探討中医穴位按摩结合拉玛泽呼吸法对孕妇负性情绪及分娩结局的影响。方法：选取2018年3月-2019年12月医院收治的200例自然分娩孕妇进行研究，随机分为对照组与研究组，每组100例。对照组予以常规导乐分娩，研究组在对照组基础上予以中医穴位按摩结合拉玛泽呼吸法。比较两组SAS评分、SDS评分、产程宫缩疼痛程度及分娩结局。结果：干预后，研究组SAS评分、SDS评分均明显低于对照组，产程宫缩疼痛程度明显优于对照组，会阴侧切率、新生儿窒息率均明显低于对照组，产后出血量明显少于对照组，第二产程时间明显短于对照组，差异均有统计学意义（P<0.05）。结论：中医穴位按摩结合拉玛泽呼吸法能够有效缓解孕妇的焦虑、抑郁情绪及宫缩疼痛程度，改善母婴结局，值得在临床中推广应用。

【关键词】中医穴位按摩拉玛泽呼吸法负性情绪分娩结局

doi：10.14033/j.cnki.cfmr.2020.16.065 文献标识码 B 文章编号 1674-6805（2020）16-0-03

Effects of Traditional Chinese Medicine Acupoint Massage Combined with Lamaze Breathing Method on Negative Emotions and Delivery Outcomes of Pregnant Women/LIANG Peilan， LI Libo. //Chinese and Foreign Medical Research， 2020， 18（16）： -160

[Abstract] Objective： To explore the effects of traditional Chinese medicine acupoint massage combined with Lamaze breathing method on negative emotions and delivery outcomes of pregnant women. Method： A total of 200 pregnant women with natural childbirth who were treated in the hospital from March 2018 to December 2019 were randomly divided into the control group and the study group， with 100 cases in each group. The control group was given routine Doula delivery， and the study group was given traditional Chinese medicine acupoint massage combined with Lamaze breathing method on the basis of the control group. The SAS scores， SDS scores， degree of contraction pain during labor and delivery outcomes were compared between the two groups. Result： After the intervention， the SAS score and SDS score of the study group were significantly lower than those of the control group， and the degree of contraction pain during labor was significantly better than that of the control group， and the perineal resection rate and neonatal asphyxia rate were significantly lower than those of the control group， and the postpartum blood loss was significantly less than that of the control group， and the second stage of labor was significantly shorter than that of the control group， and the differences were statistically significant （P<0.05）. Conclusion： Traditional Chinese medicine acupoint massage combined with Lamaze breathing method can effectively alleviate anxiety， depression and the degree of contraction pain of pregnant women， improve maternal and infant outcomes， and is worthy of popularization and application in the clinic.

[Key words] Traditional Chinese medicine acupoint massage Lamaze breathing method Negative emotion Delivery outcome

First-authors address： Huangpu Peoples Hospital of Zhongshan， Zhongshan 528429， China

综上所述，中医穴位按摩联合拉玛泽呼吸法可明显改善孕妇的负性情绪及产程宫缩疼痛程度，并改善母婴结局，值得在临床中推广。

参考文献

[1]刘丹.中医穴位按摩配合Lamaze呼吸法对产妇负性情绪及分娩结局的影响[J].智慧健康，2018，4（21）：53-54.

[2]张一梅，雷霞，张乐燕，等.拉玛泽呼吸法配合无保护接产对产妇负性情绪及分娩结局的影响[J].中华全科医学，2017，15（10）：1731-1734.

[3]甘小利，陈桂珍.穴位按摩配合拉玛泽呼吸法对产妇分娩的影响[J].中国中医药现代远程教育，2018，16（10）：117-119.

[4]刘会玲.穴位按摩结合拉玛泽呼吸法在自然分娩中的应用[J].陕西中医，2015，36（11）：1529-1531.

[5]王丙娟.拉玛泽减痛法联合穴位按摩助产对高龄初产妇分娩结局的影响[J].国际护理学杂志，2015，36（12）：1716-1719.

[6]谢丽君，江小霞，翁钱瑛.拉玛泽呼吸法配合自由体位接产对初产妇负性情绪及分娩结局的影响[J].健康研究，2017，37（6）：672-675.

[7]张萍.导乐式分娩联合拉玛泽呼吸法对初产妇分娩控制感及产程的影响[J].全科护理，2018，16（34）：46-48.

[8]王敏.五行音乐配合拉玛泽呼吸对初产妇焦虑疼痛、分娩控制及分娩结局的影响[J].国际护理学杂志，2018，39（22）：3028-3032.