摘要
目的:探讨导乐分娩镇痛仪联合瑞芬太尼静脉自控技术对分娩镇痛的应用疗效并评价母婴结局.方法:选取某院产科分娩且同意应用导乐分娩镇痛仪联合瑞芬太尼静脉自控镇痛的孕妇310例为观察组,选取同期于某院产科住院待产的孕妇300例为对照组.收集并分析2组研究对象的母婴结局及并发症发生情况.结果:观察组研究对象经阴道分娩成功率为98.06%,中转行剖宫产率1.84%,对照组研究对象经阴道分娩成功率为90.66%,中转行剖宫产率9.34%,2组比较差异有统计学意义(P<0.05);2组对象产后出血人数比较观察组少于对照组,差异有统计学意义(P<0.05),新生儿转儿科治疗人数及母婴并发症比较,差异无统计学意义(P>0.05).结论:导乐分娩镇痛仪联合瑞芬太尼静脉自控分娩镇痛技术能够有效缓解产妇的疼痛,缩短产程,有效促进自然分娩,临床应用效果显著,值得临床推广.
Objective:To investigate the effect of Doula delivery analgesia instrument combined with remifentanil intravenous self-control technique on labor analgesia and to evaluate the prognosis of mother and infant.Methods:310 pregnant women who agreed to use Doula delivery analgesia instrument combined with remifentanil intravenous patient-controlled analgesia were selected as an observation group.Another 300 pregnant women hospitalized in a hospital at the same time were selected as a control group.The maternal and infant outcomes and complications of the two groups were collected and analyzed.Results:The success rate of transvaginal delivery was 98.06%and the rate of cesarean section was 1.84%in the observation group,while the rates were 90.66%and 9.34%respectively in the control group.There was significant difference in terms of the rate of cesarean section between the two groups due to social factors(P<0.05).There was significant difference in the number of mothers with postpartum hemorrhage between the two groups(P<0.05).There was no significant difference in terms of the number of neonates transferred to paediatric treatment and maternal and infant complications between the two groups(P>0.05).Conclusion:Doula delivery analgesia instrument combined with remifentanil intravenous patient-controlled labor analgesia can effectively relieve the pain of parturients,shorten the labor process,effectively promote natural delivery,reduce the rate of cesarean section caused by social factors,and improve the quality of life of parturients.The effect of clinical application is remarkable.It is worthy of clinical promotion.
作者
万敏
刘志军
闫华
陈乾
WAN Min;LIU Zhi-jun;YAN Hua(Department of Obstetrics and Gynecology,Bengbu Third People's Hospital,Anhui,233000,China)
出处
《淮海医药》
CAS
2019年第6期567-568,571,共3页
Journal of Huaihai Medicine
关键词
导乐分娩镇痛仪
静脉自控
分娩镇痛
母婴结局
Doula delivery analgesia instrument
Intravenous self-control
Labor analgesia
Maternal and infant outcomes
