摘要
目的探讨导乐陪伴分娩联合椎管内分娩镇痛的效果及对母婴妊娠结局的影响。方法选取2018年9月至2020年8月中山大学附属第三医院粤东医院收治的足月妊娠产妇164例为研究对象,应用随机数字表法分为传统组和联合组,每组各82例。其中传统组给予传统方式分娩,联合组给予导乐陪伴分娩联合椎管内分娩镇痛干预。利用视觉模拟评分法(VAS)评价疼痛程度,比较两组产妇各产程时间和分娩方式,对比两组镇痛效果,观察并统计两组妊娠结局。结果联合组和传统组的第一、二、三产程及总产程时间比较,差异无统计学意义(P>0.05)。相比传统组的剖宫产率(25.61%),联合组的6.10%明显更低,差异有统计学意义(P<0.05)。相比于传统组重度疼痛率(78.05%)和中度疼痛率(18.29%),联合组的比例(0.00、1.22%)明显更低,差异有统计学意义(P<0.05)。与传统组不良妊娠结局率(13.42%),联合组的2.44%明显更低,差异有统计学意义(P<0.05)。结论应用导乐陪伴分娩联合椎管内分娩镇痛对产妇进行干预,明显降低分娩过程中的疼痛程度、剖宫产率,改良不良妊娠结局,值得广泛推广。
Objective To investigate the analgesic effect of doula accompanying delivery combined with intraspinal delivery and its impact on pregnancy outcome of maternity and infant.Methods A total of 164 full-term pregnant women admitted to Yuedong Hospital,the Third Affiliated Hospital of Sun Yat-Sen University hospital from September 2018 to August 2020 were selected as research objects,and they were divided into the conventional group(n=82)and the combined group(n=82)according to the random number table method.Among them,the conventional group was treated with conventional delivery method,while the combined group was treated with doula accompanying delivery combined with intraspinal analgesia intervention.Visual analogue scale(VAS)was used to evaluate the degree of pain,the delivery time and delivery mode between the two groups.Meanwhile,the analgesic effect between the two groups was compared,and the pregnancy outcomes between the two groups were observed and counted.Results There were no statistically significant differences in the first,the second and the third stages of labor and the total delivery time between the combined group and the conventional group(P>0.05).The cesarean section rate in the combined group was 6.10%,significantly lower than 25.61%in the conventional group,with statistically significant difference(P<0.05).The severe pain rate and moderate pain rate of the combined group were(0.00,1.22%),significantly lower than(78.05%,18.29%)of the conventional group respectively,with statistically significant differences(P<0.05).The adverse pregnancy outcome rate of the combined group was 2.44%,significantly lower than 13.42%of the conventional group,with statistically significant difference(P<0.05).Conclusion The intervention of doula accompanying delivery combined with intraspinal labor analgesia for puerperae can significantly reduce the pain degree and cesarean section rate during delivery and improve the adverse pregnancy outcome,which is worthy of wide promotion.
作者
梁依斐
黄芳
LIANG Yifei;HUANG Fang(Department of Obstetrics,Yuedong Hospital,the Third Affiliated Hospital of Sun Yat-Sen University,Guangdong,Meizhou 514000,China)
出处
《中国医药科学》
2021年第6期87-89,107,共4页
China Medicine And Pharmacy
基金
广东省梅州市社会发展科技计划项目(2019B062)。
关键词
导乐陪伴分娩
椎管内分娩镇痛
分娩方式
妊娠结局
Doula accompanying delivery
Intraspinal labor analgesia
Delivery mode
Pregnancy outcome
