全自动气囊仿生助产联合硬膜外自控镇痛对自然分娩产妇产后盆底功能的影响

目的：观察全自动气囊仿生助产联合硬膜外自控镇痛在自然分娩产妇中的应用效果，及对产妇盆底功能的影响。方法：前瞻性选取200例接受自然分娩的产妇为研究对象，并随机分为对照组和观察组，各100例。两组患者均给予硬膜外自控镇痛，观察组在此基础上给予全自动气囊仿生助产。比较两组产妇自然分娩率、妊娠结局和新生儿结局的差异。结果：观察组产妇顺产率为98.00%，对照组顺产率为93.00%，两组间比较差异无统计学意义(校正χ²=1.862,P=0.172)；两组新生儿出生后1 min和5 min的Apgar评分无差别(P>0.05)；观察组产妇产后出血量为(143.09±7.52)mL，低于对照组的(187.52±10.34)mL，且尿潴留和尿失禁发生率低于对照组(P<0.05)；观察组患者满意率显著高于对照组(P<0.05)。结论：全自动气囊仿生助产联合硬膜外自控镇痛在自然分娩产妇中的应用较好，可降低产后尿失禁等并发症的发生率，改善产妇的盆底功能，具有应用价值。

Effect of fully automatic balloon bionic midwifery combined with patient-controlled epidural analgesia on postpartum pelvic floor function in puerperas after natural delivery

Abstract: Objective To observe the application effect of fully automatic balloon bionic midwifery combined with patient-controlled epidural analgesia in natural delivery, and to discuss its effect on the pelvic floor function in the puerperas. Methods A total of 200 cases of natural childbirth were selected prospectively and then randomly divided into control group and observation group, with 100 cases in each group. Both groups were given patient-controlled epidural analgesia, and on this basis, fully automatic balloon bionic midwifery was adopted in observation group. The differences in the natural delivery rate, pregnancy outcome and neonatal outcome between two groups were compared. Results The natural delivery rates in observation group and control group were 98.00% and 93.00%, respectively, and there was no significant difference between two groups (corrected [χ2]=1.862, P=0.172). The differences in the Apgar scores of newborns at 1 and 5 min after birth between two groups were trivial (P>0.05). Compared with control group, observation group had a smaller postpartum hemorrhage ［(143.09±7.52) mL vs (187.52±10.34) mL］, and lower incidences of urinary retention and urinary incontinence (P<0.05). The satisfaction rate was significantly higher in observation group than control group (P<0.05). Conclusion Fully automatic balloon bionic midwifery combined with patient-controlled epidural analgesia is suitable for natural childbirth for it can not only reduce the incidences of postpartum urinary incontinence and other complications, but also improve the pelvic floor function in the puerperas.