硬膜外麻醉结合导乐分娩对母婴影响的探讨

Effect of doulas associated with epidural anesthesia during delivery on mothers and infants

目的:探讨硬膜外麻醉结合导乐用于分娩镇痛的效果及对母婴的影响。方法:按随机和自愿原则将产妇分为观察A组80例、观察B组80例及对照组200例,A观察组实施硬膜外麻醉结合导乐分娩,B组实施持续硬膜外麻醉,对照组单用导乐分娩。对两观察组及对照组产妇的疼痛程度、剖宫产率、总产程时间及新生儿窒息率等进行比较。结果:两观察组分别与对照组在疼痛程度、剖宫产率、总产程时间进行比较,差异有统计学意义(P<0.01),其中观察A组与观察B组差异无统计学意义(P>0.05);新生儿窒息率三组比较差异无统计学意义。结论:硬膜外麻醉结合导乐镇痛,能有效减轻分娩疼痛,缩短产程,降低剖宫产率,促进自然分娩,对母婴均无不良影响,此法方便、易行、无创伤,更安全,值得推广。

Objective：To investigate the effect of doulas associated w ith epidural anesthesia during delivery on mothers and infants. Methods：According to the principle of voluntariness and randomness,we distributed the p regnant wo men into three groups：experimental group A,experimental group B and the contro l group.Both the experimental groups had 80 cases,and the control group had 20 0 cases.Conduct doulas associated with epidural anesthesia for group A,epidural anesthesia for group B and doulas for the control group du ring delivery.Compare the effect of abirritation,the time of labor,the cesare an rate and the fetal asphyxia rate of the three groups. Results：The effect of abirritation,the time of labor,the cesarean rate and the fetal asphyxia rate w ere significantly different between the experiment groups and control group,res p ectively.There was no significant difference between group A and group B for t he effect（P0.05）.The difference of fetal asphyxia r ate were not significant among three groups （P0.05）. Conclusion：Doulas associated with epidural anesthesia durin g delivery has a satisfactory effect of abirritation.It can shorten the labor, lower the cesarean rate and has no bad effect either on mothers or infants.It i s safer,painless and should be promoted.