硬膜外阻滞麻醉与导乐联合用于分娩镇痛分析

Analysis of the combined use of epidural anesthesia and Doula delivery in delivery analgesia

目的分析硬膜外阻滞麻醉与导乐联合用于分娩镇痛的疗效。方法选择在本院住院准备阴道分娩的待产妇180例,分为联用组、导乐组和对照组各60例。结果联用组和后2组比较,镇痛效果有显著差异(P=0.000);联用组活跃期较后2组明显缩短(P<0.01),而第2、3产程无明显差异(P>0.05);3组分娩方式、产后出血量、胎儿宫内及新生儿窒息发生率无明显差异(P>0.05)。结论硬膜外阻滞麻醉与导乐联合用于分娩镇痛是一种提高产科质量、确保母婴安全的方法,降低了剖宫产率。

Objective To evaluate the effects of combined use of Doula delivery and epidural anesthesia in terms of delivery analgesia. Method 180 primipara suitable for vaginal delivery were randomly divided into three groups： 60 primiparas in active phase received combination of Doula delivery and epidural anesthesia （combination group）; 60 received Doula delivery （Doula group） ; 60 were given routine vaginal delivery（control group）. Results The difference of analgesia effects between the combination group and two other groups was significant （P〈 0.01 ） ; the time of active phase was shorter（ P 〈 0.01 ）, while the time of second and third stage of labor revealed no significant difference（P 〉0.05） ; there were no obvious difference in delivery mode, incidence of postpartum, fetal distress, neonatal asphysia （P 〉 0.05）. Conclusion The combination use of Doula delivery and epidural anesthesia can improve the obstertrical quality, and has no side effects on mother and fetus, which may decrease the rate of cesarean section.