摘要
目的:观察硬膜外镇痛联合爱力项目在自然分娩中的安全性及优越性。方法:将200例按要求选定的初产妇随机分为两组,每组100例。其中A组孕期进行爱力减痛分娩法训练并且分娩过程中实施硬膜外分娩镇痛;B组单纯实施硬膜外分娩镇痛。两组在实施硬膜外分娩镇痛过程中均采用0.1%罗派卡因+0.5μg/ml舒芬太尼。结果:A、B组镇痛前后的VAS评分比较,差异有统计学意义(P<0.01)。第一产程及第二产程时间A组都短于B组,差异有统计学意义(P<0.05)。两组之间第三产程时间及新生儿出生后1、5分钟Apgar评分,差异无统计学意义。A组剖宫产率为8%(8/100),对照组为21%(21/100),两组比较,差异有统计学意义。A组产妇的满意度评分为97.5±3.2分,B组为83.1±4.8分,A组高于B组,两组比较差异有统计学意义。两组均未见呼吸抑制、恶心、呕吐等不良反应发生。结论:硬膜外镇痛联合爱力项目应用于分娩过程中,患者满意度高,效果确切,对产妇及新生儿无不良影响,并能进一步减少产妇人为导致的剖宫产。
Abstract Objective ： Observation of epidural analgesia combined with love project in nat- ural childbirth in safety and superiority of. Method： 200 cases in accordance with the requirements of the selected primipara were randomly divided into two groups,100 cases each. Group A was pregnant love method of childbirth to reduce pain during childbirth training and implementation of epidural la-bor analgesia ; group B ： simple epidural labor analgesia. Two groups in the implementation of epidural labor analgesia are in the course of the 0. 1% ropivacaine ＋ 0. 5 txg/ml sufen- tanil Results： A, B group before and after analgesic VAS score differences are statisti- cally significant （ P 〈 0. 01 ） , the first stage and the second stage of labor time of group A was shorter than in group B, the difference was statistically significant （ P 〈 0. 05 ） ; be- tween the two groups of third time of birth process and after the birth of 1,5min Apgar score differences are no statistical signifi- cance, A cesarean section rate was 8% （8/ 100） , the control group the cesarean section rate was 21% （ 21/100）, there was signifi- cant difference between two groups, maternal satisfaction score for A group（97.5 ＋3.2）, higher than that of group B （ 83. 1 ＋ 4. 8 ）, there was significant difference between two groups. The two groups were no respiratory depression, nausea, vomiting and other ad- verse reactions occur. Conclusions： epidural analgesia combined with love project applied in the delivery process, with high patient satisfaction, the exact effect on maternal and neonatal without adverse effects, and can further reduce maternal man - made cesare- an section, worthy of clinical application.
