CAJ | 학술논문

目的探讨无创分娩镇痛对顺产初产妇分娩镇痛及产后抑郁症发生的影响. 方法选择2014年2~4月在本院分娩的顺产初产妇300例,设为对照组,选择2014年5~8月在本院分娩的顺产初产妇300例,设为实验组.对照组采用全程一对一责任制助产陪伴分娩,实验组在对照组基础上采用无创分娩镇痛仪镇痛分娩.比较两组产妇3个产程的镇痛效果、产后7d抑郁评分及产后抑郁发生率. 结果实验组产妇3个产程的镇痛效果明显优于对照组,两组比较,差异具有统计学意义(均P<0.01);实验组产妇产后抑郁评分及产后抑郁发生率明显低于对照组,两组比较,差异具有统计学意义(均P<0.05). 结论顺产初产妇在全程一对一责任制助产分娩基础上采用无创分娩镇痛仪镇痛,能有效缓解顺产初产妇产痛程度,并降低初产妇产后抑郁发生率.
목적 탐토무창분면진통대순산초산부분면진통급산후억욱증발생적영향. 방법 선택2014년2~4월재본원분면적순산초산부300례,설위대조조,선택2014년5~8월재본원분면적순산초산부300례,설위실험조.대조조채용전정일대일책임제조산배반분면,실험조재대조조기출상채용무창분면진통의진통분면.비교량조산부3개산정적진통효과、산후7d억욱평분급산후억욱발생솔. 결과 실험조산부3개산정적진통효과명현우우대조조,량조비교,차이구유통계학의의(균P<0.01);실험조산부산후억욱평분급산후억욱발생솔명현저우대조조,량조비교,차이구유통계학의의(균P<0.05). 결론 순산초산부재전정일대일책임제조산분면기출상채용무창분면진통의진통,능유효완해순산초산부산통정도,병강저초산부산후억욱발생솔.
Objective To explore the effect of non-invasive labor analgesia on postnatal depression among primipara. Methods Three hundred primipara of spontaneous labor in our hospital from February 2014 to April 2014 were assigned as control group and another 300 primiparas of spontaneous labor from May 2014 to August 2014 as experiment group. In the control group, one-to-one responsibility system was conducted for the delivery with an accompanying midwife and in the experiment group, non-invasive labor analgesia was done apart from one-to-one responsibility system. The two groups were compared in terms of analgesic effect at three stages of labor, postnatal depression scores and incidence of postnatal depression. Result The analgesic effect of the experiment group was better than that of the control group during the three stages of labor (all P<0.01), and postnatal depression scores and the incidence of postnatal depression in the experiment group were significantly lower than those in the control group (both P<0.05). Conclusion Non-invasive labor analgesia can relieve the labor pains and decrease the incidence of postnatal depression among primiparas.