全产程阵痛对产妇围产期心理的影响研究

Effect of analgesia during the whole stages of labor to psychology on puerpera

目的探讨在产妇分娩过程中全产程镇痛对产妇围产期心理的影响。方法选择经阴道分娩产妇120名随机分为对照组及研究组,研究组在分娩过程中采用腰硬联合麻醉镇痛,采用视觉模拟评分法(VAS)评价两组分娩过程疼痛差异,采用产妇抑郁量表(EPDS)及汉米尔顿焦虑量表(HAMA)评估两组产妇围产期心理变化。结果研究组第一产程、第二产程及胎儿娩出后VAS评分低于对照组,产后1个月研究组EPDS评分及产后抑郁发生率低于对照组,产后1周研究组HAMA评分及焦虑发生率低于对照组。结论腰硬联合镇痛能够减轻分娩过程中疼痛的痛苦体验,减少产后焦虑及抑郁的发生。

Objective To investigate the effect of analgesia during the whole stages of labor to psychology on puerpera. Methods All 120 cases who would taken spontaneous delivery were selected and divided into control group and research group, puerpera in research group taken nalgesia during the whole stages of labor topsychology,difference of pains were e- valuated with VAS and change of mental were contrasted with EPDS and HAMA. Results Results score of VAS in first birth process,in second birth process and after parturition was lower in research groups than in control groups,score of EPDS and incidence of postpartum depression was lower in research, Score of HAMA and incidence of anxiety was lower in research groups than control groups in 1 week after parturition. ConcLusion Analgesia during the whole birth process could decreas labor pains, decrease incidence rate of anxiety and postpartum depression.