CAJ | 학술논문

目的评估硬膜外镇痛联合导乐陪伴(助产士陪伴)用于全程分娩的效果.方法 300例初产妇进入产程潜伏期后实施分娩镇痛联合导乐陪伴(A组)、单用分娩镇痛(B组)和单用导乐陪伴(C组),每组100例.记录镇痛效果(VAS)、神经阻滞评分(MBS)、满意度评分、产程、分娩方式、催产素的使用、新生儿Apgar评分及不良反应.结果 A和B组镇痛后30 minVAS评分显著低于镇痛前[(0.9±0.6)分和(1.0±0.5)分vs.(7.6±1.2)分和(7.4±1.4)分](P<0.01).A组产妇满意度显著高于B组和C组[(98.2±3.0)分vs.(85.2±5.8)分和(83.6±6.1)分](P<0.05).A组及C组第一、二产程均短于B组(P<0.05).结论硬膜外镇痛联合导乐陪伴用于分娩全程,镇痛效果确切,并可缩短产程.
목적 평고경막외진통연합도악배반(조산사배반)용우전정분면적효과.방법 300례초산부진입산정잠복기후실시분면진통연합도악배반(A조)、단용분면진통(B조)화단용도악배반(C조),매조100례.기록진통효과(VAS)、신경조체평분(MBS)、만의도평분、산정、분면방식、최산소적사용、신생인Apgar평분급불량반응.결과 A화B조진통후30 minVAS평분현저저우진통전[(0.9±0.6)분화(1.0±0.5)분vs.(7.6±1.2)분화(7.4±1.4)분](P<0.01).A조산부만의도현저고우B조화C조[(98.2±3.0)분vs.(85.2±5.8)분화(83.6±6.1)분](P<0.05).A조급C조제일、이산정균단우B조(P<0.05).결론 경막외진통연합도악배반용우분면전정,진통효과학절,병가축단산정.
Objective To evaluate the outcomes of epidural analgesia combined with doula (accompanied by midwife) for labor analgesia. Methods Three hundred nulliparous parturients were assigned to three groups with 100 cases each. Epidural analgesia combined with doula was used in group A, epidural analgesia alone in group B and doula alone in group C. The visual analogue scale (VAS), modified Bromage score (MBS), maternal satisfaction, duration of labor, mode of deliveries, oxytocin consumption and neonatal Apgar score were recorded. Results VAS scores in group A and B were significantly lower at 30 rain during analgesia than those before [(0.9±0.6)scores and (1.0± 0. 5)scores vs. (7.6±1.2) scores and(7.4±1.4)scores](P<0.01). The maternal satisfaction score was significantly higher in group Athan that in group B or group C[(98.2±3.0)scores vs. (85.2± 5. 8)scores or(83.6±6.1)scores](P<0.05). Duration of the first and second stages in group A and C was significantly shorter than that in group B(P<0.05). Conclusion The epidural analgesia combined with doula for labor analgesia can provide effective analgesia and shorten the labor course.