拉玛泽分娩法联合腰硬联合阻滞分娩镇痛的临床应用研究

目的:探讨拉玛泽分娩法联合腰硬联合阻滞分娩镇痛在分娩中应用的临床效果。方法:选择400例初产妇,分为拉玛泽联合腰硬联合阻滞分娩镇痛组(A组)、拉玛泽组(B组)、腰硬联合阻滞分娩镇痛组(C组)和导乐陪伴组(对照组D组),每组100人,观察产妇产时疼痛程度、产程时间、分娩方式、剖宫产指征、缩宫素使用、产后出血、新生儿Apgar评分等。结果:A组产妇与其他3组比较,产时疼痛程度明显减轻,产程时间缩短,自然分娩率上升,剖宫产率下降,缩宫素使用增加,差异有统计学意义(P<0.05);新生儿Apgar评分、产后出血量在4组间比较差异无统计学意义(P>0.05)。结论:拉玛泽分娩法联合腰硬联合阻滞分娩镇痛能有效减轻分娩疼痛,缩短产程,提高自然分娩率,降低剖宫产率,不影响产后出血及新生儿Apgar评分,但会增加缩宫素的使用。

Study on clinical application of Lamaza delivery method combined with spinal-epidural anesthesia analgesia for labor analgesia

Objective:To explore the clinical effect of Lamaza delivery method combined with spinal-epidural anesthesia analgesia for labor analgesia.Methods:A total of 400 primiparous women were selected and divided into group A(Lamaza delivery method combined with spinal-epidural anesthesia analgesia),group B(Lamaza delivery method),group C(spinal-epidural anesthesia analgesia),and group D(Doula labor,control group),100 primiparous women in each group;the degrees of pain during delivery,stages of labor,delivery modes,indications of cesarean section,doses of oxytocin,amount of postpartum hemorrhage,neonatal Apgar scores in the four groups were observed.Results:Compared with the other three groups,the degree of pain during delivery in group A relieved significantly,the stages of labor shortened,the rate of spontaneous delivery increased,the rate of cesarean section decreased,the dose of oxytocin increased,there were statistically significant difference in the above-mentioned indexes(P<0.05).There was no statistically significant difference in neonatal Apgar score and the amount of postpartum hemorrhage among the four groups(P>0.05).Conclusion:Lamaza delivery method combined with spinal-epidural anesthesia analgesia used for labor analgesia can effectively relieve labor pain,shorten stages of labor,increase the rate of spontaneous delivery,and reduce the rate of cesarean section,which doesn't affect the amount of postpartum hemorrhage and neonatal Apgar score,but it can increase the dose of oxytocin.