导乐陪伴联合分娩镇痛对母婴的临床效果观察

目的探讨导乐陪伴联合笑气吸入和椎管内麻醉分娩镇痛对自然分娩的作用和影响。方法将来潍坊市妇幼保健院分娩的正常足月初产妇随机分为3组,导乐陪伴联合笑气吸入分娩镇痛116例为笑气组,导乐陪伴联合椎管内麻醉分娩镇痛120例为椎管组,不实行导乐陪伴也不用分娩镇痛122例作为对照组。分别观察3组产妇的镇痛效果、产程时间、分娩方式、产后出血量、新生儿评分情况。结果椎管组镇痛效果优于笑气组和对照组、笑气组产程时间短于椎管组和对照组,差异有统计学意义(P<0.05);3组分娩方式比较差异有统计学意义(P<0.05);3组产妇产后2h出血量和新生儿窒息发生率比较差异无统计学意义(P>0.05)。结论笑气组产程时间短,椎管组镇痛效果满意,因此,导乐陪伴联合分娩镇痛是目前较理想的分娩镇痛方法,对母婴无不良影响,选择何种方法,在临床工作中应根据具体情况具体应用。

Observe the Clinical Effect to Mothers and Infants of Guide and Companion Combining with Delivery Analgesia

Objective To investigate the effect and influence to natural delivery of guide and companion combining with the nitroxide inhalation and intraspinal anesthesia delivery analgesia. Methods The normal full term primiparas who come to maternal and child health hospital of Weifang were divided into three groups, 116 cases of guide and companion combining with the nitroxide inhalation delivery analgesia as the nitroxide group, 120 cases of guide and companion combining with the intraspinal anesthesia delivery analgesia as the neural canal group, 122 cases without guide and companion as the control group. The effect of relieving pain,labor time, mode of delivery, capacity of postpartum hemorrhage and score of neonatus in three groups were observed respectively. Results The aspect of relieving pain in the neural canal group was better than the nitric oxide group and the control group. The labor time of the nitric oxide group was shorter than the other two groups, the differences had statistical significance （ P 〈 0.05 ）, the mode of delivery among three groups had statistical significance （P 〈 0.05 ）, there had no statistical significances（ P 〉 0.05 ）in the capacity of postpartum hemorrhage and the rate of asphyxia of newborn. Conclusion The labor time of the nitric ox- ide group was short, the neural canal group had the best effect on relieving pain, therefore guide and companion combining with delivery analgesia was an ideal method, and had no side effect to mothers and infants. How to chose should base on the specific condition.