CAJ | 학술논문

　　目的探讨低频神经和肌肉刺激仪（导乐仪）对产妇分娩镇痛效果及对母婴结局的影响。方法随机将在本院分娩的400例初产妇分为对照组与观察组，每组各200例，对照组采用全产程一对一导乐陪伴分娩，观察组在对照组基础上采用导乐仪镇痛分娩。比较两组产妇产时镇痛效果、产程进展、分娩方式、产后出血量及新生儿情况。结果观察组产妇产时镇痛效果、活跃期、第2产程和总产程时间及自然分娩率均优于对照组，两组比较，差异具有统计学意义（均P＜0.05）；两组新生儿窒息率及产后2 h出血量比较，差异无统计学意义（均P＞0.05）。结论产妇在全产程一对一导乐陪伴基础上采用导乐仪镇痛分娩，能有效减轻产妇产痛程度，加速产程进展，促进自然分娩，且对产妇及胎儿无不良影响，值得临床推广应用。
　　목적탐토저빈신경화기육자격의（도악의）대산부분면진통효과급대모영결국적영향。방법수궤장재본원분면적400례초산부분위대조조여관찰조，매조각200례，대조조채용전산정일대일도악배반분면，관찰조재대조조기출상채용도악의진통분면。비교량조산부산시진통효과、산정진전、분면방식、산후출혈량급신생인정황。결과관찰조산부산시진통효과、활약기、제2산정화총산정시간급자연분면솔균우우대조조，량조비교，차이구유통계학의의（균P＜0.05）；량조신생인질식솔급산후2 h출혈량비교，차이무통계학의의（균P＞0.05）。결론산부재전산정일대일도악배반기출상채용도악의진통분면，능유효감경산부산통정도，가속산정진전，촉진자연분면，차대산부급태인무불량영향，치득림상추엄응용。
Objective To study the effect of non-invasive low frequency nerve and muscle stimulator on labor analgesia. Methods Four hundred primigravida in our hospital were randomized into the control and observation group in equal number:The deliveries of the former group were accompanied with full-process Doula and those of the latter with Doula-assisted analgesia besides Doula accompany.The two groups were compared in terms of analgesic effect,labor progress,delivery method,post-partum hemorrhage and neonatal conditions. Results The observation group was significantly better than the control group in terms of analgesic effect,active phase,total labor and spontaneous delivery(all P<0.05).There was no significant difference between them in occurrence of neonatal asphyxia and hemorrhage 2h after labor(both P>0.05). Conclusion Doula-assisted analgesia plus Doula accompany for the full labor process is effective for alleviating labor pains,accelerating labor process and spontaneous delivery.