Abstract:

Objectives　To observe the effect of Chinese medicine acupressure massage on delivery quality of primiparae of the Qi stagnation and blood stasis type. Methods　Eighty-two full-term primiparae of the Qi stagnation and blood stasis type were selected for the randomized controlled trial. They underwent regular prenatal check ups and were awaiting delivery at Dongchangfu District Maternal and Child Health Care Hospital from October 2022 to September 2023. They were divided into a study group and a control group by the random number table method, with 41 cases in each group. The control group received routine prenatal intervention, while the study group applied the Chinese medicine acupressure massage. The general data, scores of traditional Chinese medicine symptoms, traditional Chinese medicine treatment effects, labor durations, oxytocin usage, vaginal midwifery rates, postpartum hemorrhage, incidence rates for transferring to cesarean section, neonatal asphyxia rates, and incidence rates of adverse reactions were compared between the two groups. χ² test or Fisher's exact probability test, t test, and non-parameter test were used for the statistical comparisons. Results　There were no statistical differences in the general data between the two groups (all P>0.05). The score of traditional Chinese medicine symptoms in the control group was higher than that in the study group [7.00 (6.00, 7.00) vs. 5.00 (5.00, 5.00)], with a statistical difference (P<0.05). In the control group, 5 patients (12.19%) were effective, and 36 (87.81%) ineffective; in the study group, 38 patients (92.68%) were effective, and 3 (7.32%) ineffective; there was statistical difference between the two groups (P<0.05). The first and second stages of labor and total duration of labor in the control group were longer than those in the study group [(503.97±172.19) min vs. (254.34±91.09) min, (78.15±35.05) min vs. (29.73±14.04) min, and (587.74±182.93) min vs. (284.41±102.82) min], with statistical differences between the two groups (all P<0.05). The oxytocin use rate, vaginal midwifery rate, postpartum hemorrhage rate, incidence rate for transferring to cesarean section, and neonatal asphyxia rate in the control group were higher than those in the study group [14.634% (6/41) vs. 0, 17.073% (7/41) vs. 0, 14.634% (6/41) vs. 4.878% (2/41), 4.878% (2/41) vs. 0, and 4.878% (2/41) vs. 0], with statistical differences between the two groups (all P<0.05). No case had allergic reaction, skin irritation, etc. in the study group during the Chinese medicine acupressure massage. Conclusions　The Chinese medicine acupressure massage for primiparae of the Qi stagnation and blood stasis type can shorten their second stage of labor, reduce the use of oxytocin and the vaginal delivery rate, and improve their overall delivery quality.

Key words:

Primiparae, Traditional Chinese medicine acupoint application, Second stage of labor, Delivery quality

摘要：

目的　观察中药穴位贴敷按摩疗法对气滞血瘀型足月初产妇分娩质量的影响。方法　采用随机对照试验方法，选取2022年10月至2023年9月在聊城市东昌府区妇幼保健院规律产检、待产分娩的82例气滞血瘀型足月初产妇，随机数字表法分为研究组（41例）和对照组（41例）。对照组实施常规产前干预，研究组在此基础上应用中药穴位贴敷按摩干预方案，比较两组产妇的一般资料、中医证候积分、中医疗效、产程时间、缩宫素使用情况、阴道助产率、产后出血情况、中转剖宫产发生率、新生儿窒息率及不良反应发生率。采用χ²检验或Fisher确切概率法、t检验、非参数检验进行统计比较。结果　两组气滞血瘀型足月初产妇的一般资料比较，差异均无统计学意义（均P>0.05）。对照组中医证候积分为7.00（6.00，7.00）分，研究组为5.00（5.00，5.00）分，差异有统计学意义（P<0.05）。对照组有效5例（12.19%）、无效36例（87.81%），研究组分别为38例（92.68%）、3例（7.32%），差异有统计学意义（P<0.05）。对照组第一产程为（503.97±172.19）min、第二产程为（78.15±35.05）min、总产程（587.74±182.93）min，研究组分别为（254.34±91.09、29.73±14.04、284.41±102.82）min，差异均有统计学意义（均P<0.05）。对照组缩宫素使用率为14.634%（6/41）、阴道助产率为17.073%（7/41）、产后出血率为14.634%（6/41）、中转剖宫产率为4.878%（2/41）、新生儿窒息率为4.878%（2/41），均高于研究组［0、0、4.878%（2/41）、0、0］，差异均有统计学意义（均P<0.05）。研究组在中药穴位贴敷按摩应用过程中未出现任何过敏、皮肤刺激等相关不良反应。结论　中药穴位贴敷按摩可以缩短气滞血瘀型初产妇的第二产程时间，降低缩宫素使用率、阴道助产率，提升初产妇的总体分娩质量。

关键词:

初产妇, 中药穴位贴敷, 第二产程, 分娩质量