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目的探讨产程中手法按摩减轻分娩疼痛的效果。方法选择单胎正常足月孕妇42例,其中自愿采用手法按摩减轻分娩疼痛的21例为手法按摩组,采用经皮神经电刺激仪(TENS)减痛的21例为TENS组,分别比较两组孕妇减痛干预前后疼痛评分和分娩满意度。结果①手法按摩组活跃早期按摩前后疼痛评分分别为(5.52±0.98)分和(2.81±0.51)分,活跃晚期分别为(9.04±0.80)分和(3.90±0.77)分,按摩前后比较,差异均有统计学意义(P<0.05);②手法按摩组1/5和1/3减痛率分别为61.9%和33.3%,TENS组分别为57.1%和28.6%,两组比较,差异均无统计学意义(P>0.05);③手法按摩组分娩满意度和非常满意度分别为42.9%和57.1%,TENS组分别为61.9%和23.8%,两组比较,差异均有统计学意义(P<0.05)。结论手法按摩能有效减轻分娩疼痛,简单、便利、经济,并增加分娩满意度。
Objective To investigate the effect of manual massage in labor process to relieve labor pain during labor. Methods Forty-two full-term pregnant women with single child were enrolled in this study. Twenty-one pregnant women were randomly divided into two groups: TMA group (TENS group) and TENS group Pain scores and delivery satisfaction of pregnant women before and after pain relief intervention. Results ① The pain scores of active massage before and after active massage were (5.52 ± 0.98) and (2.81 ± 0.51), respectively, and those in active massage were (9.04 ± 0.80) and (3.90 ± 0.77) (P <0.05). ② The pain reduction rates of 1/5 and 1/3 in manual massage group were 61.9% and 33.3%, respectively, and those in TENS group were 57.1% and 28.6% respectively (P> 0.05). ③ Satisfaction and satisfaction of hand massage group were 42.9% and 57.1%, respectively, and those in TENS group were 61.9% and 23.8%, respectively <0.05). Conclusion Massage can effectively reduce labor pain, simple, convenient, economical, and increase childbirth satisfaction.