间苯三酚联合分娩镇痛导乐仪在促进自然分娩中应用的临床观察

目的：探讨间苯三酚与导乐仪联合应用在促进自然分娩中的效果。方法选择2012-10至2013-09在我院拟进行阴道分娩的足月妊娠孕妇，对愿意选择镇痛分娩者随机分为联合组、导乐仪组、间苯三酚组，每组160例，不愿意镇痛分娩者作为传统组（ n＝100）。联合组采用间苯三酚与导乐仪联合应用，导乐仪组选取导乐仪镇痛分娩，间苯三酚组应用间苯三酚药物干预，传统组为传统待产不施加任何干预措施。观察四组孕妇的产程变化、分娩结局、对分娩痛的反应等指标。结果联合组、导乐仪组镇痛有效率分别为96．88％和95．63％，均明显优于其他2组（P＜0．05）；联合组宫口扩张速度较其他3组快（P＜0．05），第一产程、第二产程、总产程短于其他3组（P＜0．05），剖宫产率为6．25％，明显低于其他3组（P＜0．05）。结论间苯三酚与导乐仪联合应用安全、有效，利于自然分娩，值得推广使用。

Clinical application of phloroglucinol with analgesic doula instrument in promoting natu-ral delivery

Objective To investigate the efficacy of benzene phloroglucinol and doula instrument in promoting natural deliver-y.Methods Full-term pregnant women for vaginal delivery from October 2012 to September 2013 were recruited.They were randomly divided into joint group, doula instrument group, phloroglucinol group （160 each）, and traditional group （n=100）.Joint group was phloroglucinol combined with doula instrument, doula instrument group selected doula for labor analgesia, phloroglucinol group used phloroglucinol drug intervention, and traditional group underwent traditional labor without any intervention.The differences in birth process changes, birth outcome and labor pain reactions between the four groups of pregnant women were observed.Results Analge-sic effective rates in joint group, doula instrument group were 96.88%and 95.63%, respectively, significantly better than those in the other two groups （P〈0.05）;cervical dilatation in joint group was more rapid than the other three groups （P〈0.05）;the first stage of labor, the second stage of labor, and the total labor process were shorter than the other three groups （ P〈0.05）;vaginal delivery rate was 99.38%, significantly higher than that in the other three groups （P〈0.05）;and cesarean section rate was 0.62%, signifi-cantly lower than that in the other three groups （P〈0.05）.Conclusions The application of combining phloroglucinol with Doula in-strument is safe, effective, conductive to natural childbirth, and worthy to be popularized.