分娩球配合GT-A4型导乐分娩镇痛仪在全产程无痛分娩中的应用研究

Study of labor ball combined with GT-A4 doula analgesia meter in whole labor process painless labor

目的探讨分娩球配合GT-A4型导乐分娩镇痛仪在全产程无痛分娩中的应用效果。方法选取2012年12月至2013年8月于本院产科分娩的产妇240例,根据产妇入院先后顺序随机分为观察组与对照组,每组各120例。观察组产妇在导乐分娩基础上给予分娩球配合GT-A4型导乐分娩镇痛仪,对照组产妇仅给予导乐分娩,对比两组产妇疼痛、产后24小时出血量、产程、剖宫产率、视觉模拟评分法(VAS)评分及新生儿Apgar评分。结果观察组产妇VAS评分、剖宫产率、产程及产后24小时出血量均显著低于对照组(P<0.01),两组新生儿Apgar评分比较差异无显著性(P>0.05)。结论分娩球与GT-A4型导乐分娩镇痛仪联合应用能够有效减轻产妇分娩疼痛,缩短产程,降低剖宫产率,减少产后出血量,对新生儿无不良影响,值得临床推广应用。

Objective To discuss the clinical effects of labor ball combined with GT-A4 doula analgesia meter in whole labor process painless childbirth. Method Selected from December 2012 to August 2013 in our hospital 240 cases of obstetric maternal childbirth, according to the order of admission, randomly divided into observation group and control group, 120 cases in each group. Observation group on the basis of birth doula were given birth ball with GT-A4 type doula analgesia device, control group only given birth doula. Compared two groups of maternal pain, blood loss, labor, cesarean section rate, visual analogue scale（VAS） score and Apgar score. Result The VAS score, rate of cesarean section, labor time and the amount of postpartum hemorrhage in observe group were significantly lower than that of control group（P〈0.01）, but there was not significantly difference in Apgar of the newborn between two groups（P〉0.05）. Conclusion Labor ball combined with GT-A4 doula analgesia meter can effectively reduce maternal childbirth pain, labor time, cesarean section rate, and postpartum bleeding, but did not cause adverse effects on newborns, worthy of promotion.