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导乐陪伴、自由体位、腰-硬联合麻醉分娩镇痛联合应用对促进自然分娩的效果观察 被引量:12

Observation on the Effect of Doula Accompaniment,Free Posture and Combined Spinal-epidural Anesthesia on Promoting Natural Delivery
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摘要 目的:分析导乐陪伴、自由体位、腰-硬联合麻醉分娩镇痛联合应用对促进自然分娩的效果。方法:将2017年4月-2019年3月住院分娩产妇根据自愿参加的原则随机分为观察组、镇痛组、导乐+体位组,每组200例,观察组给予导乐陪伴、自由体位及腰-硬联合麻醉镇痛。镇痛组只给予腰-硬联合麻醉镇痛,导乐+体位组采取导乐陪伴加自由体位分娩。观察三组产妇的疼痛评分(VAS)、麻醉药用量、产后2 h出血量、总产程时间、分娩方式、新生儿Apgar评分及新生儿窒息情况。结果:观察组疼痛评分(2.69±0.42)分,产后2 h出血(149.57±26.34)ml,麻醉药用量(34.32±7.56)ml,新生儿Apgar评分(9.51±0.25)分,均优于镇痛组及/或导乐+体位组,差异有统计学意义(P<0.05);观察组总产程用时较镇痛组及导乐+体位组更短,且自然分娩率更高,新生儿窒息发生率更低(P<0.05)。结论:导乐陪伴、自由体位、腰-硬联合麻醉分娩镇痛联合应用,能有效缓解孕妇分娩疼痛,缩短产程时间,减少产后出血,提高自然分娩率,降低剖宫产率,促进自然分娩。 Objective:To analyze the effect of Doula accompaniment,free posture,combined spinal-epidural anesthesia for labor analgesia on promoting natural delivery.Method:From April 2017 to March 2018,600 cases of parturient women in our hospital were divided into the observation group,the analgesia group,the Doula+body position group according to the order of admission,200 cases in each group.The observation group was given Doula,free position and combined spinal epidural analgesia,the analgesic group was given spinal-epidural anesthesia for analgesia,Doula+body position group was given doula accompanied and free position.Pain score(VAS),postpartum hemorrhage 2 hours,anesthetic dosage,neonatal Apgar score,total duration of labor,mode of delivery and neonatal asphyxia of the 3 groups were observed.Result:The pain score was(2.69±0.42)points,postpartum hemorrhage of 2 h was(149.57±26.34)ml, anesthetic dosage was(34.32±7.56)ml and neonatal Apgar score was(9.51±0.25)points in the observation group,better than those in the analgesia group and Doula+body position group,there were statistical significance(P<0.05).The total labor duration of observation group was shorter than that of the analgesia group and Doula+body posture group,and the natural delivery rate was higher,and the incidence of neonatal asphyxia was lower(P<0.05).Conclusion:Doula accompanying,free posture and combined spinal-epidural anesthesia for labor analgesia can effectively alleviate labor pain,shorten labor time,reduce postpartum hemorrhage and analgesic dosage,and improve the natural delivery rate.
作者 尹悦 李艳梅 董莎娜 YIN Yue;LI Yanmei;DONG Shana(Dalingshan Hospital of Dongguan,Dongguan 523820,China)
出处 《中外医学研究》 2019年第20期10-12,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
基金 东莞市社会科技发展一般项目(项目编号:201650715001044)
关键词 导乐陪伴 自由体位 腰硬麻醉 分娩镇痛 自然分娩 Doula accompaniment Free posture Spinal-epidural anesthesia Labor analgesia Natural childbirth
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  • 1张渺,杨慧霞,李海燕,史彗星,曲元.蛛网膜下腔阻滞加硬膜外阻滞与单纯硬膜外阻滞对产程进展影响的分析[J].中华妇产科杂志,2005,40(6):365-368. 被引量:64
  • 2何孔源,李树人.分娩镇痛法的临床应用与观察[J].中华麻醉学杂志,1989,9(2):102-104. 被引量:121
  • 3赵有业 关俊.孕妇心理需求及分娩过程的心态调查[J].中国妇幼保健,1990,5(1):30-30. 被引量:32
  • 4中华人民共和国 卫生部基妇司 中华预防医学会妇女保健分会.产科服务模式[M].北京,2000.22-23. 被引量:1
  • 5乐杰.妇产科学(第5版)[M].北京:人民卫生出版社,2001.139. 被引量:396
  • 6Lysak SZ, Eisenael JC, Dobson CE. Patient-con- trolled epidural analgesia ( PCEA ) during labor: a comparison of three solutions with continuous epidural infusion(CEI). Anesthesiology, 1988, 65: A690 ~ 692. 被引量:1
  • 7Kariman N, Hedayati M, Taheri Z, et al. Comparison of ELISA and three rapid HCG dipsticks in diagnosis of premature rupture of membranes [J]. Iran Red Crescent Med J, 2011, 13(6): 415-419. 被引量:1
  • 8Miyazaki K, Furuhashi M, Yoshida K, et al. Aggressive intervention of previable preterm premature rupture of membranes [J]. Acta Ob- stet Gynecol Stand, 2012, 91(8): 923-929. 被引量:1
  • 9McGrath SK;Kennell JH.Induction of labor and doula support[J],1998. 被引量:1
  • 10Langer A;Campero L;Garcia C.Effects of Psychosocial support during labour and childbirth on breast feeding,medical interventions,and mothers well-being in a Mexican public hospital : a randomized clinical trial,1998. 被引量:1

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