导乐陪伴联合硬膜外麻醉镇痛分娩80例分析

Analysis of 80 cases of Doula combined with Epidural anesthesia in labor analgesia

目的：探讨导乐陪伴联合硬膜外麻醉用于分娩镇痛的效果。方法：选择80例无明显头盆不称,无妊娠并发症和妊娠合并症的初产妇,宫口开大2-3cm时施行导乐陪伴及硬膜外麻醉镇痛,记录镇痛效果、产程、分娩方式、产后出血及新生儿Apgar评分等。结果：所有产妇镇痛效果良好,阴道自然分娩率高,总产程缩短,新生儿窒息率低,无不良反应。结论：导乐陪伴联合硬膜外阻滞镇痛分娩,可显著减轻产时疼痛,降低剖宫产率,缩短产程,减少出血量,但不增加新生儿窒息率,对母婴无副作用,值得推广应用。

Objective： To discuss the effectiveness of Doula combined with epidural anesthesia in labor analgesia. Methods： 80 cases of primipara without obvious cephalopelvic disproportion, pregnancy complications or pregnancy complications were selected,they were performed Doula and epidural anesthesia when their cervix open 2-3cm,analgesic effect,labor,mode of delivery ,blood losing after delivery,and Apgar＇s score were recorded.Results： All the cases have good effect of analgesics, high rate of natural delivery, shorter labor,low rate of neonatal asphyxia,and no adverse reaction .Conclusion： Doula combined with epidural anesthesia in labor analgesia can significantly reduce the labor pain, the cesarean section rate ,shorten the labor and reduce bleeding, but does not increase the rate of neonatal as- phyxia, or has side effects on mother and child,so it is worth widely applied.