导乐仪应用于阴道分娩中的临床效果分析

ANALYSIS OF CLINICAL EFFECT ON DOULA INSTRUMENT USED IN THE VAGINAL DELIVERY

目的观察分析导乐仪应用于阴道分娩中的临床效果。方法收集2012年10月—2013年6月阴道分娩的足月妊娠孕妇,随机分为导乐仪组、椎管麻醉组、传统组。导乐仪组选取导乐仪镇痛分娩,椎管麻醉组应用硬膜外药物麻醉的方法镇痛,传统组为传统待产不施加任何干预措施。观察三组孕妇的产程变化、分娩结局、对分娩痛的反应等。结果导乐仪组镇痛有效率为93.0%,椎管麻醉组的镇痛有效率为98.0%,二组比较差异无统计学意义(P>0.05);导乐仪组宫口扩张速度较椎管麻醉组和传统组快(P<0.05),第一产程、第二产程时间短于其他二组(P<0.05),阴道分娩率为97.0%,明显高于其他二组(P<0.05),剖宫产率为3.0%,明显低于其他二组(P<0.05);三组在新生儿阿氏评分、出生体重、产后出血方面比较,差异无统计学意义(P>0.05)。结论导乐仪的镇痛效果显著,且安全、无创,能加速产程,促进自然分娩,对母儿无影响,值得在产科推广使用。

Objective To observe and analyze the clinical effect of Doula instrument in the vaginal delivery . Methods All vagina childbirth full -term pregnant women were come from author＇s hospital in October 2012 to September 2013 ,were randomly divided into Doula instrument group ,spinal anesthesia group ,tra-ditional anesthesia group .Doula instrument group selected Doula for labor analgesia ,spinal anesthesia group used epidural analgesia drug to analgesic ,traditional group was traditional labor anesthesia group , did not impose any intervention .The difference of birth process changes ,birth outcomes and labor pain re-action was observed among the three groups .Results Analgesic effective rate of Doula instrument group was 93 .0% ,98 .0% in spinal anesthesia group ,the difference was not statistically significant between two groups （P〉0 .05） .The cervical dilation rate of doula instrument group was faster than spinal anesthesia group and traditional group （P〈0 .05） ,whose first stage ,the second stage of labor time was shorter than the other two groups （P〈0 .05） ,vaginal delivery rate was 97 .0% ,also significantly higher than the other two groups （P〈0 .05） ,cesarean section rate was 3 .0% ,significantly lower than the other two groups （P〈0 .05） .Three groups in the neonatal apgar score ,birth weight ,postpartum hemorrhage with relatively were not statistical significance （P〉0 .05） .Conclusion Analgesic effect of Doula instrument is significant with safe ,non-invasive and no side reaction on mother and child .It can able to accelerate the production process and promote natural childbirth ,so it is worth using in obstetrics promotion .