腕踝针联合罗哌卡因及舒芬太尼在分娩镇痛中的效果观察

doi:10.3969/j.issn.1671-7171.2024.08.025

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Abstract 【Objective】 To explore the effects of wrist-ankle acupuncture combined with ropivacaine and sufentanil for labor analgesia.【Methods】 Ninety-four parturients undergoing vaginal delivery were randomly divided into two groups. The control group received analgesia with ropivacaine and sufentanil, while the observation group received additional wrist-ankle acupuncture. The analgesic effects, stress indicators, and other related conditions were compared between the two groups.【Results】 At 1 hour, 3 hours after intervention, and 1 hour postpartum, the Visual Analog Scale (VAS) scores of both groups gradually decreased compared to before intervention, with statistically significant differences at different time points (P<0.05). The observation group had lower VAS scores than the control group (P<0.05). Postpartum, the serum levels of substance P (SP), cortisol (Cor), and neuropeptide Y (NPY) in both groups increased compared to before delivery (P<0.05), but were lower in the observation group than in the control group (P<0.05). The first stage of labor and total labor time were shorter in the observation group than in the control group (P<0.05). At 1 hour, 3 hours after intervention, and 1 hour postpartum, the mean arterial pressure (MAP) and heart rate (HR) of both groups decreased compared to before intervention (P<0.05), and were lower in the observation group than in the control group (P<0.05). After the intervention, the Edinburgh Postnatal Depression Scale (EPDS) scores of both groups increased compared to before intervention (P<0.05), but were lower in the observation group than in the control group (P<0.05). There was no statistically significant difference in the overall incidence of adverse reactions between the two groups (P>0.05).【Conclusion】 Wrist-ankle acupuncture combined with ropivacaine and sufentanil for labor analgesia can effectively enhance analgesic effects, stabilize hemodynamic levels, shorten the first stage of labor, reduce postpartum depression, and has good safety.

Key words： Analgesia, Obstetrical Labor Pain Wrist Ankle Acupuncture Therapy Ropivacaine Sufentanil

Received: 18 March 2024

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R614

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	XING Fangfang
	GUANG Jianzhong
	QI Cuimin

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XING Fangfang,GUANG Jianzhong,QI Cuimin. Observation of the Effects of Wrist-Ankle Acupuncture Combined with Ropivacaine and Sufentanil for Labor Analgesia[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(8): 1205-1208.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.08.025 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I8/1205

[1] LAZZARI C, RAFFAELLI R, D'ALESSANGRO R, et al. Effects of neuraxial analgesia technique on labor and maternal-fetal outcomes: a retrospective study[J].Arch Gynecol Obstet,2023,307(4):1233-1241.
[2] ZHANG L, XU C, LI Y. Impact of epidural labor analgesia using sufentanil combined with low-concentration ropivacaine on maternal and neonatal outcomes: a retrospective cohort study[J].BMC Anesthesiol,2021,21(1):229.
[3] 韩珊, 周静, 马武开, 等. 腕踝针疗法联合苗药五藤散冷湿敷治疗湿热蕴结型急性痛风性关节炎效果观察[J].山东医药, 2023,63(2):50-53.
[4] 张心曙. 实用腕踝针疗法[M]. 北京:人民卫生出版社, 2002:15-27.
[5] 孙兵, 车晓明. 视觉模拟评分法(VAS)[J].中华神经外科杂志,2012,28(6):645.
[6] MACÍAS-CORTÉS EDC, LIMA-GÓMEZ V, ASBUN-BOJALIL J. Diagnostic accuracy of the Edinburgh Postnatal Depression Scale: consequences of screening in Mexican women[J].Gac Med Mex,2020,156(3):201-207.
[7] CALLAHAN E C, LEE W, ALESHI P, et al. Modern labor epidural analgesia: implications for labor outcomes and maternal-fetal health[J].Am J Obstet Gynecol,2023,228(5S):S1260-S1269.
[8] 邱慧, 夏小桃, 闻汉波, 等. 导乐分娩镇痛仪联合按摩对单胎妊娠初产妇母婴结局的影响[J].中国妇幼保健, 2021,36(5):1018-1020.
[9] CHENG H Y, CAROL S, WU B, et al. Effect of acupressure on postpartum low back pain, salivary cortisol, physical limitations, and depression: a randomized controlled pilot study[J].J Tradit Chin Med,2020,40(1):128-136.
[10] ZHONG H Y, YANG Z Y, ZHANG W, et al. Effects of adding oxycodone to ropivacaine on labor analgesia: a randomized controlled trial[J].Clin J Pain,2020,36(2):96-100.
[11] FAN M, LI J, CAO R, et al. Efficacy and safety of dexmedetomidine-ropivacaine versus sufentanil-ropivacaine for epidural labor analgesia: a randomized controlled trial[J].Ann Palliat Med,2022,11(4):1410-1420.
[12] 薛青, 张雪姣, 刘霞, 等. 腕踝针对分娩镇痛效果及减少并发症的影响[J].河北中医药学报, 2021,36(5):35-37.
[13] 卓红停, 吕连超, 谷长平, 等. 椎管内分娩镇痛对产后抑郁症的影响及相关性研究进展[J].国际麻醉学与复苏杂志, 2023,44(1):110-112.