导乐陪伴分娩联合无创分娩镇痛的应用研究  

Clinical Research on Doula Accompanying Delivery with Atraumatically Analgesic Delivery

作　　者：徐玲娣 陈廷美 

机构地区：[1]江苏省镇江市妇幼保健院妇产科,江苏镇江212001

出　　处：《中国临床医学》2014年第4期474-475,共2页Chinese Journal of Clinical Medicine

基　　金：江苏省镇江市科技支撑计划-社会发展(编号:SH2013063)

摘　　要：目的:探讨导乐陪伴分娩联合无创分娩镇痛的临床效果。方法:选择2012年5月—2013年7月在江苏省镇江市妇幼保健院待产的初产妇260例,将其随机分为干预组和对照组,每组130例;2组产妇在年龄、文化程度、职业、孕周等方面的差异无统计学意义(P>0.05)。对照组产妇在宫口开至2 cm时入产房,由家属陪伴,仅采用常规的呼吸减痛分娩法待产,至产后2 h;干预组产妇在宫口开至2 cm时入产房,由家属陪伴,同时由导乐师进行一对一导乐陪伴并应用分娩镇痛仪镇痛待产,至产后2 h。比较2组产妇的焦虑程度、各产程时间、活跃期时间、产后出血量、镇痛效果、生理分娩率、满意度。结果:干预组产妇焦虑程度、活跃期时间、产后出血量明显低于或少于对照组(P<0.05);干预组产妇镇痛效果、生理分娩率、满意率均明显优于对照组(P<0.05)。2组产妇的第二产程时间、第三产程时间差异均无统计学意义(P>0.05)。结论:导乐陪伴分娩配合分娩镇痛仪的应用能有效降低产妇的焦虑与疼痛程度,缩短活跃期时间,促进自然分娩,减少产后出血量,值得推广。Objective：To investigate the clinical effect of Doula accompanying delivery with atraumatically analgesic delivery.Methods：A total of 260 normal primiparas hospitalized in Zhenjiang Maternal and Child Health Hospital in Jiangsu Province from May 2012 to Jul 2013 were enrolled and randomly divided into control group and intervention group,with 130 primiparas in each group.There were no statistically significant difference between the two groups in age,literacy,profession and gestational weeks （P＞0.05）.The women in the control group were treated with normal breath pain-relieve method when the cervix diatation was 2 cm till 2 hours after delivery accompanyed by their family.Women in the intervention group were treated with Doula accompanying delivery and by delivery analgesia instrument when the cervix dilatation was 2 cm till 2 hours after their delivery accompanyed by their family.The extent of their anxiety,time of each stage of labor,active phase,amount of bleeding after delivery,analgesic effect,physiological delivery rate,and satisfaction were investigated and compared between the two groups.Results：The extent of anxiety,active phase,amount of bleeding in the intervention group were significantly lower than those in the control group （P＜0.05）.The analgesic effect,physiological delivery rate and satisfaction were significantly better or higher than those in the control group（P＜0.05）.The difference in the time of the second and third stages of labor was not statistical significant between the two groups（P＞0.05）.Conclusions：By using the method of Doula accompanying delivery with delivery analgesia instrument,primiparas＇ extent of anxiety and pain,their amounts of bleeding are significantly reduced,their active phases are shortened,and the natural delivery processes are enhanced.

关 键 词：导乐陪伴分娩 分娩镇痛 自然分娩 疼痛 

分 类 号：R714.3[医药卫生—妇产科学]