自由体位分娩加分娩减痛法在初产顺产妇中的综合应用效果观察

Effect of comprehensive application of free position delivery and delivery analgesia method in primiparous and eutocia puerperants

目的探讨自由体位分娩加分娩减痛法在初产顺产妇中的综合应用效果。方法选取2011年12月至2012年12月本院的180例初产顺产妇为研究对象,将其随机分为A组(自由体位分娩组)60例、B组(分娩减痛法组)60例和C组(自由体位分娩加分娩减痛法组)60例,将三组患者的三个产程、疼痛评分、出血量、转剖宫产率、产后不良情况发生率及新生儿Apgar评分进行比较。结果 C组的三个产程及总产程均短于A组及B组,疼痛评分优于A组及B组,出血量小于A组及B组,转剖宫产率及产后不良情况发生率均低于A组及B组,新生儿Apgar评分也优于A组及B组,其差异均有统计学意义(P均<0.05),而A组与B组之间的差异均无统计学意义(P均>0.05)。结论自由体位分娩加分娩减痛法在初产顺产妇中的综合应用效果相对较好,对于产妇及新生儿的影响均更为积极。

Objective To study the effect of comprehensive application of free position delivery and deliv- ery analgesia method in primiparous and eutocia puerperants. Methods One hundred and eighty primiparous and eu- tocia puerperants in our hospital from December 2011 to December 2012 were selected as research subjects. The pa- tients were randomly divided into group A （free position delivery group, 60 case,s）, group B （delivery analgesia meth- od group, 60 cases）, and group C （free position delivery and delivery analgesia method group, 60 cases）. Then the three stages of labor, pain score, blood loss, rate of cesarean section, rate of postpartum adverse situation, and neonatal Apgar score of the three groups were compared. Results The three stages of labor in group C were shorter than thoseof group A and group B; the pain score of group C was better than those of group A and group B; blood loss was less; rates of cesarean section and postpartum adverse situation were lower; neonatal Apgar score was better, all with statis- tically significant difference （P〈0.05）. The items of group A and group B had no significant differences （P〉0.05）. Conclusion The effect of comprehensive application of free position delivery and delivery analgesia method in pri- miparous and eutoeia puerperants is relatively good, and its influence for the puerperants and neonatus is more active.