中醫穴位按摩結合拉瑪澤呼吸法對孕婦負性情緒及分娩結局的影響

梁培蘭　李利波

【摘要】 目的：探討中醫穴位按摩結合拉瑪澤呼吸法對孕婦負性情緒及分娩結局的影響。方法：選取2018年3月-2019年12月醫院收治的200例自然分娩孕婦進行研究，隨機分為對照組與研究組，每組100例。對照組予以常規導樂分娩，研究組在對照組基礎上予以中醫穴位按摩結合拉瑪澤呼吸法。比較兩組SAS評分、SDS評分、產程宮縮疼痛程度及分娩結局。結果：干預后，研究組SAS評分、SDS評分均明顯低于對照組，產程宮縮疼痛程度明顯優于對照組，會陰側切率、新生兒窒息率均明顯低于對照組，產后出血量明顯少于對照組，第二產程時間明顯短于對照組，差異均有統計學意義（P<0.05）。結論：中醫穴位按摩結合拉瑪澤呼吸法能夠有效緩解孕婦的焦慮、抑郁情緒及宮縮疼痛程度，改善母嬰結局，值得在臨床中推廣應用。

【關鍵詞】 中醫穴位按摩 拉瑪澤呼吸法 負性情緒 分娩結局

doi：10.14033/j.cnki.cfmr.2020.16.065 文獻標識碼 B 文章編號 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

綜上所述，中醫穴位按摩聯合拉瑪澤呼吸法可明顯改善孕婦的負性情緒及產程宮縮疼痛程度，并改善母嬰結局，值得在臨床中推廣。

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