导乐镇痛仪联合分娩球对初产妇分娩结局及产后抑郁的影响  

Effects of doule analgesia instrument combined with labor ball on the delivery outcomes and postnatal depression for primipara

作　　者：崔月昕 申薇[1] 史丽[1] 郭辉[1] 王娟[1] 尹洁[1] 

机构地区：[1]河北医科大学第四医院妇产科,河北石家庄050011

出　　处：《河北医科大学学报》2017年第7期789-792,共4页Journal of Hebei Medical University

基　　金：河北省医学适用技术跟踪项目(GL201346)

摘　　要：目的探讨导乐镇痛仪、分娩球及两者联合应用对产妇分娩结局和产后抑郁的影响。方法选取分娩的598例初产妇为研究对象,根据入院顺序和知情同意原则,随机分为对照组(206例)、导乐镇痛仪组(DA组,142例)、分娩球组(LB组,134例)、导乐镇痛仪分娩球联合应用组(DL组,116例),比较各组总产程、产后2h出血量、剖宫产率、产时疼痛程度(VAS评分)、新生儿Apgar评分、产后7d爱丁堡产后抑郁量表(EPDS)评分及不良事件发生情况。结果与对照组比较,DA组、LB组和DL组总产程时间明显缩短,产后出血量明显减少,剖宫产率明显降低,VAS评分和EPDS评分显著降低,新生儿Apgar评分升高,差异均有统计学意义(P<0.05),导乐镇痛仪和分娩球联合应用时,上述作用更加明显;各组均无不良事件发生。结论导乐镇痛仪和分娩球联合应用可有效缩短产程时间,减少产后出血量,降低剖宫产率,减轻产时疼痛,改善新生儿状况,预防产后抑郁症发生,值得临床推广应用。Objective To observe the effects of doule analgesia instrument combined with labor ball on the delivery outcomes and postnatal depression for primipara.Methods A total of 598 cases of primipara, according to the admission order and informed consent, were randomly divided into contro group（206 cases, with no any analgesic measures）, DA group（142 cases, pregnant women who used the doule analgesia instrument）, LB group（134 cases, pregnant women who used the labor ball） and DL group（116cases, pregnant women who used the doule analgesia instrument combined with labor ball）.Then the total labor time, the amounts of postpartum bleeding in first 2 hours, cesarean section rate, degree of labor pain（visual analogue scale,VAS）, neonatal Apgar score, the Edinburgh Postnatal Depression Rating Scale（EPDS） at 7 days postpartum and postpartum incidence of adverse events were observed.Results The total labor time, the amounts of postpartum bleeding in first 2 hours, rate of cesarean section, VAS score, neonatal Apgar score and the EPDS scale in DA group, LB group and DL group were significantly decreased than that of control group（P〈0.05）.And the effects above in DL group were significantly effective than that of DA group and LB group, respectively（P〈0.05）.There was no any postpartum adverse events occurred in every group.Conclusion Using of doule analgesia instrument combined with labor ball can effectively shorten the labor time, decrease the postpartum bleedings, reduce the rate of cesarean section, reduce the maternal childbirth pain and prevent the postpartum depression.

关 键 词：分娩 产后抑郁 导乐镇痛仪 分娩球 

分 类 号：R714.3[医药卫生—妇产科学]