无创分娩镇痛对顺产初产妇分娩镇痛及产后抑郁发生的影响  

Effect of non-invasive labor analgesia on postnatal depression among primiparas

作　　者：季平[1] 邹雪梅[1] 徐文娟[1] 陈强[1] 

机构地区：[1]珠海市妇幼保健院产科爱婴区,广东珠海519000

出　　处：《现代临床护理》2015年第9期37-40,共4页Modern Clinical Nursing

摘　　要：目的探讨无创分娩镇痛对顺产初产妇分娩镇痛及产后抑郁症发生的影响。方法选择2014年2-4月在本院分娩的顺产初产妇300例,设为对照组,选择2014年5-8月在本院分娩的顺产初产妇300例,设为实验组。对照组采用全程一对一责任制助产陪伴分娩,实验组在对照组基础上采用无创分娩镇痛仪镇痛分娩。比较两组产妇3个产程的镇痛效果、产后7 d抑郁评分及产后抑郁发生率。结果实验组产妇3个产程的镇痛效果明显优于对照组,两组比较,差异具有统计学意义（均P〈0.01）;实验组产妇产后抑郁评分及产后抑郁发生率明显低于对照组,两组比较,差异具有统计学意义（均P〈0.05）。结论顺产初产妇在全程一对一责任制助产分娩基础上采用无创分娩镇痛仪镇痛,能有效缓解顺产初产妇产痛程度,并降低初产妇产后抑郁发生率。Objective To explore the effect of non-invasive labor analgesia on postnatal depression among primipara. Methods Three hundred primipara of spontaneous labor in our hospital from February 2014 to April 2014 were assigned as control group and another 300 primiparas of spontaneous labor from May 2014 to August 2014 as experiment group. In the control group, one-to-one responsibility system was conducted for the delivery with an accompanying midwife and in the experiment group, non-invasive labor analgesia was done apart from one-to-one responsibility system. The two groups were compared in terms of analgesic effect at three stages of labor, postnatal depression scores and incidence of postnatal depression. Result The analgesic effect of the experiment group was better than that of the control group during the three stages of labor （all P〈0.01）, and postnatal depression scores and the incidence of postnatal depression in the experiment group were significantly lower than those in the control group （both P〈0.05）. Conclusion Non-invasive labor analgesia can relieve the labor pains and decrease the incidence of postnatal depression among primiparas.

关 键 词：初产妇 无创分娩镇痛 产后抑郁 

分 类 号：R473.71[医药卫生—护理学]