CAJ | 학술논문

目的：探讨导乐仪分娩镇痛联合全程责任制陪伴分娩对产妇心理、分娩方式及产后产妇泌乳素的影响。方法将2012年4月至2013年4月于潍坊市妇幼保健院分娩的280例初产妇依据随机数字表法分为观察组和对照组，每组140例。对照组产妇在常规待产室待产，无任何陪伴分娩及分娩镇痛的应用，观察组采用导乐仪分娩镇痛联合全程责任制一对一陪伴分娩。比较两组产妇产时心理反应、最终分娩方式及产后产妇泌乳素的情况。结果观察组不正常心理反应及剖宫产率显著低于对照组，差异有统计学意义（ P＜0.01）；观察组产妇血清泌乳素水平在宫口开全分娩前、产后2 h、产后24 h中均高于对照组，差异有统计学意义（ P＜0.05）。结论导乐仪分娩镇痛联合责任制陪伴分娩能降低产妇不正常心理反应，降低产妇剖宫产率，增加产妇血清泌乳素水平，从而有利于产后早泌乳和多泌乳，提高母乳喂养率。
목적：탐토도악의분면진통연합전정책임제배반분면대산부심리、분면방식급산후산부비유소적영향。방법장2012년4월지2013년4월우유방시부유보건원분면적280례초산부의거수궤수자표법분위관찰조화대조조，매조140례。대조조산부재상규대산실대산，무임하배반분면급분면진통적응용，관찰조채용도악의분면진통연합전정책임제일대일배반분면。비교량조산부산시심리반응、최종분면방식급산후산부비유소적정황。결과관찰조불정상심리반응급부궁산솔현저저우대조조，차이유통계학의의（ P＜0.01）；관찰조산부혈청비유소수평재궁구개전분면전、산후2 h、산후24 h중균고우대조조，차이유통계학의의（ P＜0.05）。결론도악의분면진통연합책임제배반분면능강저산부불정상심리반응，강저산부부궁산솔，증가산부혈청비유소수평，종이유리우산후조비유화다비유，제고모유위양솔。
Objective To study the effect of Daole labor analgesia equipment combined with full responsibility of delivery accompany on maternal psychology,way of delivery and postpartum maternal prolac-tin.Methods A total of 280 primiparas delivered in Weifang Maternal and Children′s Health Care Center from Apr.2012 to Apr.2013 were divided into observation group and control group according to random num-ber table,with 140 cases in each group.Patients in the control group stayed in the conventional labor room without doula or labor analgesia,while patients in the observation group were adopted Daole labor analgesia equipment combined with one-to-one doula accompany delivery.Abnormal psychological reactions, ways of delivery and condition of postpartum prolactin of the two groups were compared .Results The incidence of abnormal psychological reactions and cesarean section rate of the observation group were significantly lower than those of the control group,the differences were statistically signiicant(P<0.01);serum prolactin levels before orifice of uterus fully opened,and 2 h,24 h after delivery of the observation group were all higher than those of the control group,there were statistically significant differences between two groups(P<0.05).Conclusion Painless Daole labor analgesia equipment combined with doula accompany delivery can reduce abnormal mater-nal psychological reactions and cesarean section rate,and increase the postpartum prolactin levels of the puer-peral,so as to contribute to the early and more lactation and increase the rate of breastfeeding.