三种分娩镇痛法对产妇疼痛度、分娩方式及母婴结局的影响  

Effect of Three Labor Analgesia Methods on Maternal Pain,Delivery Mode and Maternal and Infant Outcomes

作　　者：李群 LI Qun(Department of Obstetrics and Gynecology,Suichuan County Hospital of Traditional Chinese Medicine,Suichuan 343900,Jiangxi,China)

机构地区：[1]遂川县中医院妇产科,江西遂川343900

出　　处：《医学信息》2024年第15期111-114,共4页Journal of Medical Information

摘　　要：目的研究三种分娩镇痛法对产妇疼痛度、分娩方式及母婴结局的影响。方法选取2021年4月-2023年4月我院分娩的81例产妇为研究对象,随机分为硬膜外镇痛组、导乐镇痛组、经皮神经电刺激仪组,各组27例。比较三组镇痛疼痛评分(VAS)、产后2 h出血量、新生儿Apgar评分、产妇不同产程时间、分娩方式、产妇产后尿潴留发生率。结果硬膜外镇痛组VAS评分均低于导乐镇痛组、经皮神经电刺激仪组,且经皮神经电刺激仪低于导乐镇痛组(P<0.05),而三组产妇产后2 h出血量、新生儿Apgar评分比较,差异无统计学意义(P>0.05);硬膜外镇痛组、经皮神经电刺激仪组产妇第一、第二产程时间均短于导乐镇痛组(P<0.05),但硬膜外镇痛组、经皮神经电刺激仪组比较,差异无统计学意义(P>0.05),且三组产妇第三产程时间比较,差异无统计学意义(P>0.05);硬膜外镇痛组、经皮神经电刺激仪组产妇自然分娩均高于导乐镇痛组,中转剖宫产均低于导乐镇痛组(P<0.05),而三组产钳助产率比较,差异无统计学意义(P>0.05);硬膜外镇痛组、经皮神经电刺激仪组产后尿潴留发生率均低于导乐镇痛组(P<0.05),但硬膜外镇痛组、经皮神经电刺激仪组比较,差异无统计学意义(P>0.05)。结论与导乐镇痛比较,硬膜外镇痛与经皮神经电刺激仪镇痛效果相当,可缩短第一、第二产程时间,降低镇痛评分,提高自然分娩率,降低中转剖宫产率,且可预防产后尿潴留的发生。因此,硬膜外镇痛与经皮神经电刺激仪镇痛方式可在分娩镇痛中加以应用。Objective To study the effects of three labor analgesia methods on maternal pain,delivery mode and maternal and infant outcomes.Methods A total of 81 parturients who gave birth in our hospital from April 2021 to April 2023 were randomly divided into epidural analgesia group,Doula analgesia group and transcutaneous electrical nerve stimulator group,with 27 parturients in each group.The analgesic pain score(VAS),postpartum 2 h bleeding volume,neonatal Apgar score,maternal different labor time,delivery mode and incidence of postpartum urinary retention were compared among the three groups.Results The VAS score of the epidural analgesia group was lower than that of the Doula analgesia group and the transcutaneous electrical nerve stimulator group,and the transcutaneous electrical nerve stimulator was lower than the Doula analgesia group(P<0.05),while there was no significant difference in the amount of bleeding at 2 hours after delivery and neonatal Apgar score among the three groups(P>0.05).The first and second stages of labor in the epidural analgesia group and the transcutaneous electrical nerve stimulator group were shorter than those in the Doula analgesia group(P<0.05),but there was no significant difference between the epidural analgesia group and the transcutaneous electrical nerve stimulator group(P>0.05),and there was no significant difference in the third stage of labor among the three groups(P>0.05).The natural delivery of parturients in epidural analgesia group and transcutaneous electrical nerve stimulator group was higher than that in Doula analgesia group,and the conversion to cesarean section was lower than that in Doula analgesia group(P<0.05),but there was no significant difference in the rate of forceps delivery among the three groups(P>0.05).The incidence of postpartum urinary retention in epidural analgesia group and transcutaneous electrical nerve stimulator group was lower than that in Doula analgesia group(P<0.05),but there was no significant difference between the epidural analgesia group an

关 键 词：导乐镇痛 硬膜外镇痛 分娩方式 母婴结局 

分 类 号：R714[医药卫生—妇产科学]