经皮电刺激联合导乐镇痛对分娩结局的影响及安全性分析  

Analysis of the effect and safety of combination of labor analgesia with percutaneous electrical stimulation and Doula delivery on delivery outcome

作　　者：黄俊芝[1] 孙礼鹃 李金沙 王志红[1] HUANG Junzhi;SUN Lijuan;LI Jinsha;WANG Zhihong(Maternity Ward,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China)

机构地区：[1]滨州医学院附属医院产房,山东滨州256603

出　　处：《滨州医学院学报》2020年第6期420-422,共3页Journal of Binzhou Medical University

摘　　要：目的探讨经皮电刺激联合导乐分娩镇痛对分娩结局的影响及安全性。方法选择160例在我院住院待产的产妇作为研究对象,随机将其分为观察组与对照组,每组各80例;其中对照组予导乐分娩镇痛,观察组给予经皮电刺激联合导乐分娩镇痛。观察比较两组的VAS评分、产程时间、产后出血、剖宫产率、产妇满意度、新生儿情况、不良反应发生情况等。结果与镇痛前比较,观察组镇痛后各时间段VAS评分降低,P<0.05;与对照组比较,观察组的产后2 h出血量、剖宫产率降低,产妇满意度提高,P<0.05。结论经皮电刺激联合导乐镇痛可减轻产妇痛苦,降低剖宫产率,减少产后出血,提高产妇满意度,且无明显不良反应,值得在临床上推广应用。Objective To investigate the effect and safety of combination of labor analgesia with percutaneous electrical stimulation and Doula delivery on delivery outcome.Methods Totally 160 women who were hospitalized in our hospital were enrolled as subjects.They were randomly divided into the observation group and the control group,with 80 cases in each group.The control group was given Doula delivery,the observation group was given percutaneous electrical stimulation combination on Doula delivery for labor analgesia.The VAS scores,labor time,postpartum hemorrhage,cesarean section rate,maternal satisfaction,neonatal status,and adverse reactions were compared between the two groups.Results Compared with before analgesia,VAS score in the observation group decreased in each period after analgesia,with P<0.05.Compared with those in the control group,the 2 h postpartum blood loss and cesarean section rate in the observation group reduced,and maternal satisfaction was improved,with P<0.05.Conclusion Percutaneous electrical stimulation analgesia combination Doula delivery can alleviate maternal pain,reduce cesarean section rate,reduce postpartum hemorrhage,and improve maternal satisfaction,without obvious adverse reactions.It is worthy of clinical application.

关 键 词：经皮电刺激 分娩镇痛 分娩结局 安全性 

分 类 号：R714.3[医药卫生—妇产科学]