CAJ | 학술논문

目的：观察全程陪伴分娩联合硬膜外阻滞分娩镇痛的镇痛效果，探讨其护理意义。方法：将108名要求分娩镇痛的初产妇作为观察组，全程专责陪伴分娩联合硬膜外阻滞分娩镇痛，同期内100名无分娩镇痛要求的初产妇配以传统模式分娩作为对照组，不使用任何镇痛药物。比较两组产妇的镇痛效果及分娩结局母儿情况。结果：全程专责陪伴分娩联合镇痛产妇镇痛效果达90．74％；观察组催产素使用率较对照组高（P＜0．05）；产程无明显差异性（P＞0．05）；产后出血及新生儿窒息无明显差异性（P＞0．05）。结论：硬膜外分娩镇痛效果明显，全程专责陪伴积极的护理措施有助降低分娩痛苦，提高分娩的质量。
목적：관찰전정배반분면연합경막외조체분면진통적진통효과，탐토기호리의의。방법：장108명요구분면진통적초산부작위관찰조，전정전책배반분면연합경막외조체분면진통，동기내100명무분면진통요구적초산부배이전통모식분면작위대조조，불사용임하진통약물。비교량조산부적진통효과급분면결국모인정황。결과：전정전책배반분면연합진통산부진통효과체90．74％；관찰조최산소사용솔교대조조고（P＜0．05）；산정무명현차이성（P＞0．05）；산후출혈급신생인질식무명현차이성（P＞0．05）。결론：경막외분면진통효과명현，전정전책배반적겁적호리조시유조강저분면통고，제고분면적질량。
Objective:To assess the pain relief efficacy and nursing outcomes by accompanied delivery throughout the entire labor process with epidural block analgesia.Methods:One hundred and eight primiparae expected analgesic labor were included as observational group managed by combined epidural block anesthesia and whole labor process support by a midwife,and another 100 primiparae without any analgesia at the corresponding period were included as control subjects.Two groups were compared regarding the analgesic effects,maternal and birth outcomes.Results:The analgesic effect achieved in 90.74% of the women managed by combined epidural block anesthesia and whole labor process support of a midwife .Although the observational group re-quired more dosage of oxytocin than the controls (P<0.05),yet the two groups remained no significant difference concerning the labor course,postpartum hemorrhage and newborn asphyxia(P >0.05).Conclusion:Combined epidural block analgesia with active nursing support throughout the entire labor process may produce significant pain relief effects and improve the quality of delivery .