618 cases of improved water acupuncture analgesia

43nike9485qt · Wysłany: Sob 11:12, 12 Mar 2011

618 cases of improved water acupuncture analgesia for labor

OO2 in June, the water in our hospital to take the modified needle injection therapy for clinical analgesia, effectively prevented the lumbosacral pain after labor, are as follows. 1 Data and methods 1.1 General information on the above-mentioned period, the randomly selected full-term pregnancy and labor in our hospital 618 cases of pregnant women, single cephalic, primipara, without a head disproportion, mainly to those who labor for the pain after lumbosacral observation group, and took the same conditions 5OO cases of pregnant women as control group, 19 to 34 years, mean 25 years old, 37 ~ 42 weeks pregnant, with an average 4o weeks. Two groups of age, no significant difference in gestational age. 1.2 The observed group of pregnant women at the injection site: 5 lumbar spinous process in a uniform longitudinal centerline, left and right side open 2em, can also be simply down 2em, a total of 6 points or 4 points. Intradermal injection of each point of 1% lidocaine 0.3ml. Control group were not injected. 1.3 The chief complaint of pain graded according to the mothers were divided into grade Ⅳ ... 1. Grade I: pain. Ⅱ grade: mild pain, can be tolerated; Ⅲ level: moderate pain, unbearable; Ⅳ level: moderate to severe pain, can not stand. Monitoring indicators of pain from the 1.4 grade Ⅳ was markedly reduced I-level by level down to grade Ⅱ Ⅳ as valid by the reduced level of grade Ⅲ Ⅳ or no change to be invalid. Classification of pain before the injection of the standard introduction to the mothers, by the person responsible for the score after injection, assessed according to maternal symptoms of pain level, effects were observed. 1.5 Statistical analysis using t test and inspection. 2 Results 2.1 analgesia after injection of about 2minl ~ P has analgesic effects, continuous 3 ~ 3.5h. 18 cases of pregnant women require re-injection, and 4 injection, more than 14 cases due to the use of the whole cervix other auxiliary pain. Were observed before the injection group Ⅳ, I fell to 562 cases after the injection level, significant efficiency 9o. 94%, 56 cases of grade Ⅱ reduced, efficiency 9.06%, total efficiency of 100%. The control group were grade Ⅲ ~ Ⅳ. 2.2 Duration of study groups the average total process 12h17rain ± 4h32min, total process control 15h13min ± 6h01rain. The difference was highly significant (P 0.o5). 3 on water is to select certain acupuncture points, the appropriate liquid or injection of water into the skin. Modern medicine is called point injection therapy. Yao Tian and other reports ..., point injection water for injection for labor analgesia, the effective rate of 100%. We have used this method, but local pain during injection heavier women, some pregnant women difficult to accept. Therefore, we chose the lumbosacral injection site local intradermal injection of 1% lidocaine, to replace the previous low concentrations of local anesthetics injected saline or sterile water for injection, making the poor tolerance of pain, the mothers can smoothly accept the Town pain method, due to low back pain disappeared, maternal emotional stability, strengthen contractions, shorten labor, decrease blood loss during production. Moreover, the small amount of lidocaine on the mother, without any adverse effects on fetal 【. By 3 years of clinical observation, use of 1% lidocaine injection of drugs on local produce strong mechanical stimulation, there is no role for the local anesthetic affect the pharmacological effect. Also can increase the pain After injection of maternal remain awake and better able to reduce the cesarean section with vaginal delivery rate. This method is simple, easy to promote, for grass-roots hospitals.
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