| Objective:To observe the clinical effect of Mongolian traditional acupuncture combined with electroacupuncture on labor analgesia,so as to provide a safe and effective analgesic method for obstetric clinic.Methods:A total of 150 primiparas were voluntarily participated in the clinical study(observation)during the period from October 2018 to January 2020 in Wuhai maternal and child health hospital.All of them were randomly divided into three groups:Group A(50 patients were treated with Mongolian traditional acupuncture combined with electroacupuncture);Group B(50 patients received spinal block anesthesia and analgesia);Group C(50 patients received no analgesia).In group A,when the uterine opening reaches 2-3cm,the parturients will be treated with Mongolian acupuncture combined with electroacupuncture clipping at the upper 1/3 of the acupuncture needle until the uterine opening reaches 10cm;Group B received spinal anesthesia until the end of labor,while group C did not use any analgesic measures.During the time from analgesia to the opening of the uterus to 10 cm,the pain score(VAS visual analogue scale),oxytocin utilization rate,labor process,midwifery,Apgar score of newborn,postpartum hemorrhage and urinary retention were recorded for pair-wise comparison.Result:1.Comparison of VAS scores of three groups:(1)there was no significant difference in VAS score among the three groups before analgesia(H=1.62,P=0.45);(2)The VAS score of the three groups at the time of opening 10 cm was statistically significant(H=139.20,P<0.001),pair-wise comparisons showed that the VAS score in group A was higher than that of group B,but lower than that of group C(P<0.05).(3)VAS score of group A with 10 cm uterine opening was lower than that before analgesia,the difference was statistically significant(P<0.05).2.Comparison of labor process:(1)Comparison of the first stage of labor:the 'time of group A was significantly shorter than that of group B and group C,and the statistical analysis showed that H=23.95.P<0.001,the difference was statistically significant,(2)Comparison of the second stage of labor:the time of group A was significantly shorter than that of group B and group C.statistical analysis showed that H=12.64,P=0.002,the difference was statistically significant;(3)Comparison of the third stage of labor:statistical analysis H=0.31,P=0.86,no significant difference.(4)Comparison of total labor process:the time of group A was significantly shorter than that of group B and group C,the statistical analysis result was H=30.25,P<0.001,the difference was statistically significant.3.Postpartum urinary retention:the incidence of group A was 8.00%,group B was 36%,group C was 32.00%,A group was significantly lower than group B and C group,statistical analysis showed X2= 12.39,P=0.002,the difference was highly statistically significant.4.The use rate of oxytocin in three groups:18.00%in group A,50%in group B and 42.00%in group C.The analysis results of X2 test showed that X2=11.94,P =0.003,and the difference was statistically significant.5.Pair-wise comparison of these 3 groups showed that there is no significant difference in midwifery rate,postpartum hemorrhage,Apgar score of newborn(P>0.05).Conclusion:Mongolian traditional acupuncture combined with electroacupuncture,which has obvious effect on labor pain,can not only significantly reduce the use rate of oxytocin and the incidence of postpartum urine retention,but also shorten the whole labor process.More importantly,Mongolian traditional acupuncture combined with electroacupuncture has no obvious effect on both mother and baby,and it is a non drug labor analgesia method worth popularizing. |
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