CAJ | 학술논문

目的：比较导乐仪与硬膜外麻醉两种分娩镇痛方法的镇痛效果及对分娩结局的影响。方法收集我院住院分娩的初产妇450例，随机分为导乐仪组、麻醉组与对照组各150例，导乐仪组应用导乐仪镇痛，麻醉组应用硬膜外麻醉镇痛，对照组按产科的常规处理和观察。观察三组的镇痛效果、产程时间、剖宫产率、新生儿评分、产后2h内出血量并作比较。结果麻醉组镇痛效果优于导乐仪组，导乐仪组产程时间短于麻醉组，导乐组活跃期时间短于对照组，麻醉组产程时间长于对照组，差异有统计学意义（P<0.05）；三组新生儿评分、产后2 h内出血量、剖宫产率比较，差异无统计学意义（P>0.05）。结论导乐仪镇痛能明显降低分娩疼痛，缩短活跃期时间，对产妇、新生儿结局无不良影响，值得在临床上推广；硬膜外麻醉镇痛技术镇痛效果明显较好，适合用于潜伏期长而疲惫不堪、对分娩疼痛极敏感的产妇。
목적：비교도악의여경막외마취량충분면진통방법적진통효과급대분면결국적영향。방법수집아원주원분면적초산부450례，수궤분위도악의조、마취조여대조조각150례，도악의조응용도악의진통，마취조응용경막외마취진통，대조조안산과적상규처리화관찰。관찰삼조적진통효과、산정시간、부궁산솔、신생인평분、산후2h내출혈량병작비교。결과마취조진통효과우우도악의조，도악의조산정시간단우마취조，도악조활약기시간단우대조조，마취조산정시간장우대조조，차이유통계학의의（P<0.05）；삼조신생인평분、산후2 h내출혈량、부궁산솔비교，차이무통계학의의（P>0.05）。결론도악의진통능명현강저분면동통，축단활약기시간，대산부、신생인결국무불량영향，치득재림상상추엄；경막외마취진통기술진통효과명현교호，괄합용우잠복기장이피비불감、대분면동통겁민감적산부。
Objective To compare the effect of doula instrument and epidural anesthesia on labor pain. Methods 450 cases of primipara were randomly divided into three groups,the doula instrument group,the anesthetic group and the control group with 150 cases in each group.In the doula instrument group primipara were given doula delivery analgesia apparatus. In the anesthetic group patients were given epidural anesthesia analgesia. In the control group they were given routine obstetric care. The analgesic effect,duration of labor, the rate of cesarean section,neonatal scores,two hours postpartum hemorrhage volume of the three groups were observed. Results The analgesia effect of the anesthetic group was better than that in the doula instrument group. The labor time of the doula instrument group was shorter than that in the anesthetic group. The active phase of labor time of the doula instrument group was shorter than that in the control group. The labor time of the anesthetic group was longer than that in the control group. The difference was statistically significant( P<0.05). The score of newborn , two hours postpartum hemorrhage volume and the rate of cesarean section of the three groups were not statistically different ( P>0.05). Conclusion Doula delivery analgesia apparatus can significantly reduce the pain of childbirth and shorten the active phase of labor time without adverse effects on the maternal and neonatal.It is worth to be applied in clinic;The analgesic effect of epidural anesthesia analgesia is Significantly better and suitable for patients with long latency and terribly fatigue, very sensitive to the puerperal pain.