硬膜外分娩镇痛联合心理干预对产妇焦虑抑郁情绪的影响

【目的】探讨硬膜外分娩镇痛联合心理干预对产妇焦虑抑郁情绪的影响。【方法】160例无相关禁忌的初产妇，随机分成两组，每组80例。P组为硬膜外分娩镇痛联合心理干预（渐进性肌肉放松法和腹式呼吸法）、R组为硬膜外分娩镇痛。比较两组镇痛效果（VAS）、病人自控镇痛（PCA）用药量、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分。【结果】第一产程潜伏期、活跃期和第二产程、第三产程VAS评分、PCA用药量、SAS和SDS评分均P组低于R组。【结论】硬膜外分娩镇痛联合心理干预用于分娩期，能显著改善产妇的心理状态，镇痛效果确切，有助于提高围生期质量。

Effect of Psychological Intervention Combined with Epidural Labor Analgesia on the Anxiety and Depression of Parturients

Objective] To explore the effect of psychological intervention combined with epidural labor analgesia on the anxiety and depression of parturients. Methods]Totally 160 primiparas without relevant contraindication were divided into two groups with 80 in each. Group P was given psychological intervention （gradual muscle relaxation and abdominal respiration） combined with epidural labor analgesia. Group R was given epidural labor analgesia. The analgesia effect（VAS）, the dosage of patient controlled analgesia（PCA）, self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were compared between two groups. Results]The VAS score and the dosage of PCA, SAS and SDS scores of first, second and third labor stages in Group P were lower than those in Group R. Conclusion]Psychological intervention combined epidural labor analgesia for the labor can markedly improve mental state of parturients, and has certain analgesia effect, and is helpful to increase the quality in perinatal period.