导乐分娩联合笑气镇痛对母婴影响的临床研究

Effect of Dorlar and Nitrous Oxide Analgesia on Pregnant Women and Fetus

目的探讨导乐分娩孕妇联合笑气镇痛对母婴的影响。方法导乐分娩加笑气吸入镇痛组(研究组)100例与正常分娩组100例(对照组),比较其对镇痛效果、分娩方式、产程、产后出血及新生儿窒息等情况的影响。结果两组产后出血量、新生儿窒息比较差异无显著性(P>0.05);镇痛效果研究组有效率96%,对照组5%,差异有非常显著性(P<0.01),分娩方式研究组难产率为13%,对照组为34%,差异有显著性(P<0.05),总产程研究组(9.16±3.86)h,对照组(13.45±4.55)h,差异具有显著性(P<0.05)。结论在分娩中提倡导乐陪伴服务模式,配合安全、有效、简便的笑气分娩镇痛技术,将是一种全方位的分娩模式,对提高产科质量,促进母婴安全,降低难产率均有很好的推动。

Objetctive To explore the effect of dorlar and nitrous oxide analgesia on pregnant women and fetus.Methods 100 cases treated with dorlar and analgesia of nitrous were used as the study group and 100 cases with no treatment were used as control group. The effect of analgesia, the mode of delivery, labor stages, postpartum haemorrhage and neonatal asphyxia were compared between the two groups, Results The analgesia rate in study group and control group was 96% and 5%, respectively. The difference was statistically significant （P〈0.01）. The rate of operation was 13% in study group which was significantly lower than that of control group （34%） （P〈0.05）. The whole labor process was （9.16±3.86） hours in study group which was significantly less time than that of control group, （ 13.45±4.55） hours. The differences of postpartum haemorrhage and neonatal asphyxia between the two groups were not statistically significant （P〉0.05）. Conclusion Using dorlar and nitrous oxide analgesia during labor will be an allsided service model of labor. It can improve the effectiveness of labor and is safe to the mother and baby.