导乐无痛分娩在临床分娩镇痛中的应用效果

目的探讨和分析导乐无痛分娩在临床分娩镇痛中的应用效果及价值。方法选取于2012年6月～2013年12月在本院分娩的产妇268例为研究对象，采用数字标记法随机分为对照组和观察组，观察组患者采用导乐无痛分娩，分娩时采用非药物分娩镇痛的导乐仪，对照组产妇分娩时采用常规处理，观察和对比两组患者的镇痛效果、临床分娩方式、产程时间、产后出血量、新生儿窒息情况等指标。结果观察组和对照组的自然分娩率分别为74．63％和52．24％，观察组自然分娩率明显高于对照组（P〈0．05）；观察组产妇的第一、二及总产程时间分别为（6．84±1．33）、（1．05±0，23、（7．33±0．55）h，明显短于对照组产妇的（10．13±1．68）、（1．50±0．42）、（10．80±1．08）h，差异有统计学意义（P〈0．05）；两组产妇的产后出血量比较，差异有统计学意义（P〈0．05），但两组的新生儿宫内窘迫、新生儿窒息等指标差异无统计学意义（P〉0．05）。结论在临床分娩镇痛中应用导乐无痛分娩能明显降低产妇分娩时带来的疼痛感．缩短第一产程、第二产程及总产程时间，缓解或消除产妇的抗拒或恐惧心理，提升其自然分娩的信心，对降低剖宫产率有着积极的促进作用；且该方式不会对新生儿产生不良影响，对促进产科质量的提升，体现医疗人性化有着积极的意义，值得临床推广。

Application effect of doula painless labor on clinical labor analgesia

Objective To discuss and analyze the clinical effects and values of Doula painless labor on clinical labor analgesia.Methods 268 lying-in women delivered babies in our hospital from June 2012 to December 2013 were se- lected as research objects and randomly divided into control group and observation group by numerical notation.In the observation group,Doula apparatus as a non-drug labor analgesia in delivery was adopted,while in the control group, conventional treatment was provided for puerperae during childbirth.Indexes like analgesic effect,delivery mode,birth course,postpartum hemorrhage,and conditions of neonatal asphyxia were observed and compared in both groups.Results The natural delivery rate in the observation and control groups was 74.63% and 52.24% respectively,the former was higher than that of the latter （P〈0.05）.The first,second,and total birth courses in the observation group was （6.84±1.33） h, （1.05±0.24） h,and （7.33±0.55） h,which was shorter than （10.13±1.68） h,（1.50±0.42） h,and （10.80±1.08） h in the control group,which displayed statistical difference （P〈0.05）.There was significant difference in postpartum hemorrhage in the two groups （P〈0.05）.However,indexes like fetal distress and neonatal asphyxia had no statistical difference between both groups （P〈0.05）.Conclusion Application of Doula painless labor for clinical labor analgesia can remarkably alleviate pain during delivery,shorten the first,second,and total birth courses in order to relieve or remove lying-in women＇s psy- chological resistance and fear,and boost confidence in spontaneous labor,which plays a positive role in reducing cesare- an section rate.What＇s more,it doesn＇t have any harmful effect on neonates,is beneficial to improvement of obstetric quality and embodiment of humanization in medical treatment,which is worthy of expansion in clinic.