非药物镇痛对高龄经产妇分娩结局的影响  

Effect of Non-drug Analgesia on the Delivery Outcomes of Advanced Multiparous Woman

作　　者：胡安芬 刘秀武[1] 江声莉 陈小玲 林惠敏 曾婧 郭胜斌[1] HU Anfen;LIU Xiuwu;JIANG Shengli;CHEN Xiaoling;LIN Huimin;ZENG Jing;GUO Shengbin(Fujian Maternal and Child Health Hospital,College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics,Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建省妇幼保健院,福建医科大学妇儿临床医学院,福建福州350005

出　　处：《中国医药指南》2023年第16期87-89,共3页Guide of China Medicine

摘　　要：目的探索非药物镇痛对高龄经产妇分娩结局的影响。方法选取2019年2月至2020年6月在某三级甲等妇幼专科医院自然分娩的高龄经产妇89例作为研究对象,按照抛硬币法分为试验组及对照组,各44例、45例。对照组开展硬膜外分娩镇痛,试验组则开展体位、按摩、呼吸等联合镇痛方式。比较两组在分娩疼痛、产程时间、分娩方式、分娩前后心理状态的差异。结果两组在Ⅰ级疼痛患者比例、Ⅲ级患者比例、第一产程、第二产程时间焦虑、抑郁情绪的改善情况比较差异有统计学意义(P<0.05),两组在第三产程时间、分娩方式比较差异无统计学意义(P>0.05)。结论非药物分娩镇痛可缓解高龄经产妇的分娩疼痛,同时可缩短第一、第二产程时间,改善其焦虑、抑郁等情绪。Objective To explore the impact of non-drug analgesia on the delivery outcome of elderly multiparous women.Methods A total of 89 elderly parturiens who gave birth naturally in a grade A maternal and child hospital from February 2019 to June 2020 were selected as the research objects and divided into the experimental group and the control group with 44 cases and 45 cases,respectively,by the coin toss method.The control group received epidural analgesia,and the experimental group received combined analgesia methods such as postural analgesia,massage,breathing.The two groups were compared in labor pain,labor time,delivery mode,psychological state before and after delivery.Results There were statistically significant differences in the proportion of patients with gradeⅠpain,the proportion of patients with gradeⅢpain,anxiety and depression during the first and second stages of labor between the two groups(P<0.05),but there were no statistically significant differences in the time of the third stage of labor and delivery mode between the two groups(P>0.05).Conclusion Non-drug analgesia can relieve labor pain,shorten the labor process,effectively improve anxiety and depression.

关 键 词：高龄 经产妇 非药物镇痛 分娩 

分 类 号：R714.46[医药卫生—妇产科学] R248.3[医药卫生—临床医学]