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黄石磊,文爱娣,汪晓丹.分娩镇痛中导乐无痛分娩的应用效果观察[J].中国医药科学,2020,(1):142-144        基金项目:
分娩镇痛中导乐无痛分娩的应用效果观察
Observation on application effect of doula painless labor in labor analgesia
  
DOI:
中文关键词:  分娩;镇痛;导乐无痛分娩;VAS 评分
英文关键词:Labor; Analgesia; Doula painless labor; VAS score
作者单位
黄石磊,文爱娣,汪晓丹 深圳市宝安区人民医院产科,广东深圳 518101 
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中文摘要:
      [摘要] 目的 观察分娩镇痛中导乐无痛分娩的应用效果。 方法 选取 2018 年 1 ~ 6 月在我院住院并进行无痛分娩的产妇 169 例,按照随机数字表法分为对照组、观察组,其中对照组 85 例,观察组 84 例。给予对照组产妇常规分娩指导,给予观察组产妇导乐无痛分娩方法进行分娩指导,比较两组产妇临床分娩效果。 结果进入产房后,5min 及 90min,观察组的 VAS 评分分别为(3.39±1.31)分、(0.89±0.60)分,显著低于对照组的(5.94±1.50)分、(3.18±0.54)分,差异有统计学意义(P < 0.05);与对照组的镇痛总体有效率 55.29% 比较,观察组的镇痛总体有效率为 95.24%,明显较高,差异有统计学意义(P < 0.05);分娩后,观察组产妇的SAS 评分为(25.64±2.55)分,较分娩前 (36.59±1.59) 分有明显降低,差异有统计学意义(P < 0.05);分娩后,与对照组的 SAS 评分(35.58±2.64)分比较,观察组的 SAS 评分(25.64±2.55)分明显更低,差异有统计学意义(P < 0.05)。两组护理满意度比较 , 观察组为 97.62%,显著高于对照组的 71.76%,差异有统计学意义(P < 0.05)。 结论 在临床分娩镇痛中,采用导乐无痛分娩方式,可使分娩疼痛感有效缓解,产妇的负面情绪得以减轻,为分娩的顺利进行创造有利条件,应用效果显著,值得临床上推广使用。
英文摘要:
      [Abstract] Objective To observe the application effect of doula painless labor in labor analgesia. Methods 169 parturient women who were hospitalized and underwent painless labor in our hospital from January to June 2018 were selected. According to the random number table method, they were divided into the control group with 85 cases and the observation group with 84 cases. Parturient women in the control group were given routine labor guidance while parturient women in the observation group were given labor guidance by doula painless labor. The clinical delivery effects of parturient women in two groups were compared. Results After entering the delivery room, the VAS scores of the observation group were respectively (3.39±1.31) points and (0.89±0.60) points, significantly lower than the control group (5.94±1.50) points and (3.18±0.54) points at 5 min and 90 min. The difference was statistically significant (P < 0.05). Compared with the overall effective rate of analgesia in the control group of 55.29%, the overall effective rate of analgesia in the observation group was 95.24%, which was significantly higher. The difference was statistically significant (P < 0.05). After delivery, the SAS score of the observation group was (25.64±2.55), which was significantly lower than that before delivery (36.59±1.59), and the difference was statistically significant (P < 0.05). After delivery, SAS score of the observation group (25.64±2.55) was significantly lower than that of the control group (35.58±2.64), and the difference was statistically significant (P < 0.05). The nursing satisfaction of the observation group was 97.62%, which was significantly higher than that of the control group (71.76%), and the difference was statistically significant (P < 0.05). Conclusion In clinical labor analgesia, doula painless labor can effectively relieve labor pain, reduce maternal negative emotions and create favorable conditions for the smooth delivery. It has significant application effect, which is worthy of clinical promotion and application.
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