一对一责任助产加笑气吸入用于分娩镇痛的疗效观察

Pain killing effects of one-to-one duty birth delivery combined with laughing gas during labor

目的探讨一对一责任助产加笑气吸入对分娩镇痛的疗效。 方法将576例产妇随机分为观察组和对照组．每组288例，两组均采用一对一责任助产及其他产科处理措施，观察组同时给予笑气吸入．观察两组的产痛程度、产程时间、分娩方式、笑气对新生儿的影响、产后出血及尿潴留等。 结果观察组无痛分娩率达95．8％．而对照组则为0（P〈0．01），观察组的产程时间短于对照组（P〈0．01）。 结论笑气吸入分娩镇痛产程时间短，对母婴均无不良影响，加一对一责任助产．是一种理想的分娩方法，值得产科临床推广使用。

Aim To explore the effects of one-to-one duty birth delivery combined with laughing gas during labor. Methods 576 lying-in women were randomized into the observation group and the control group and 288 cases in each group. One-to-one duty delivery and other treating methods were used in the two groups. The observation group was given laughing gas, and the period of pain during delivery, time of delivery, way of delivery, influence of laughing gas on newborns, post operational bleeding and uroschesis were observed. Results The rate of delivery without pain after inhaling laughing gas reached 95.8% in the observation group. Both mothers and babies had no side response. The delivery period was shorter in the observation group than in the control group. Conclusion Inhaling laughing gas may lead to shorter delivery and mothers and babies have no bad response. This is an ideal delivery method, which shall be spread widely.