心理干预在分娩镇痛中的应用

The Application of Psychological Intervention on Labor Analgesia

目的:探讨心理干预在分娩镇痛中的应用。方法:将笔者所在医院计划无痛分娩400例初产妇随机分为干预组和对照组。对照组进行常规干预,干预组在此基础上进行心理干预,比较两者产妇镇痛效果、镇痛满意度、分娩镇痛时间、分娩方式、胎儿宫内窘迫率、新生儿Apgar评分、新生儿窒息率。结果:干预组产妇镇痛效果和镇痛满意度优于对照组,干预组的剖宫产率低于对照组,分娩镇痛时间少于对照组,差异均有统计学意义(P<0.05)。两组胎儿宫内窘迫率、新生儿Apgar评分、新生儿窒息率比较差异无统计学意义(P>0.05)。结论:心理干预应用于分娩镇痛能降低剖宫产率、明显提高产妇的舒适度和满意度、促进医患关系,值得在分娩镇痛过程中广泛开展。

Objective：To study the effect of psychological intervention on labor analgesia.Method：400 unipara who decide to receive labor analgesia were randomly divided into the experiment group and the control group.The control group was given the convention intervention,the intensive psychological intervention was given to the experiment group on the basis of the control group.The analgesic effect,the satisfaction of analgesic,the time of labor analgesia the delivery,and the occurrence rate of fetal distress,Apgar scores and the occurrence rate of neonatal asphyxia were observed.Result：The analgesic effect and satisfaction of analgesic in the experiment group were better than those in the control group.The cesarean section rate in the experiment group was lower than that in the control group.Meanwhile,the time of labor analgesia in the experiment group was shorter than that in the control group（P〈0.05）.The difference in the occurrence rate of fetal distress in uterus,Apgar scores and the occurrence rate of neonatal asphyxia had no statistical significance（P〉0.05）.Conclusion：Psychological intervention used in labor analgesia is able to reduce cesarean section rate,enhance comfort level and satisfaction of maternity and promote the doctor-patient relationsh Psychological intervention is worthy of using in labor analgesia process extensively.