自由体位分娩法联合分娩减痛法在初产顺产孕妇中的临床价值

Clinical value of free position labor combined with labor pain relief method in eutocia primipara

目的分析自由体位分娩法联合分娩减痛法在初产顺产孕妇中的应用价值。方法 120例初产顺产孕妇,随机分为观察组与对照组,各60例。对照组行自由体位分娩,观察组应用自由体位分娩联合分娩减痛法,比较两组产程时间、疼痛情况、分娩中出血量及新生儿Apgar评分。结果对照组第一产程(8.9±1.2)h,第二产程(1.9±0.3)h,第三产程(12.6±2.8)min,总产程(11.4±3.8)h;观察组第一产程(6.5±1.1)h,第二产程(1.1±0.2)h,第三产程(6.5±1.6)min,总产程(7.9±1.5)h。观察组三个产程及总产程时间均明显少于对照组,差异具有统计学意义(P<0.05)。观察组疼痛程度明显低于对照组,差异具有统计学意义(P<0.05)。对照组分娩中出血量(1208.6±203.4)ml,新生儿Apgar评分(7.1±1.5)分;观察组分娩中出血量(607.9±103.5)ml,新生儿Apgar评分(8.6±0.5)分;观察组分娩中出血量显著少于对照组,新生儿Apgar评分显著高于对照组,差异具有统计学意义(P<0.05)。结论自由体位分娩法联合分娩减痛法有助于减轻初产顺产孕妇的分娩疼痛,减少分娩出血量,缩短产程时间,可改善新生儿情况,值得推广。

Objective To analyze application value of free position labor combined with labor pain relief method in eutocia primipara. Methods A total of 120 eutocia primipara were randomly divided into observation group and control group, with 60 cases in each group. The control group received free position labor, and the observation group received free position labor combined with labor pain relief method. Comparison was made on stage of labor time, pain status, intrapartum bleeding volume and neonatal Apgar score between the two groups. Results The control group had first stage of labor as（8.9±1.2） h, second stage of labor as（1.9±0.3） h, third stage of labor as（12.6±2.8） min, and total stage of labor as（11.4±3.8） h. The observation group had first stage of labor as（6.5±1.1） h, second stage of labor as（1.1±0.2） h, third stage of labor as（6.5±1.6） min, and total stage of labor as（7.9±1.5） h. The observation group had obviously shorter stages of labor time and total time than the control group, and their difference had statistical significance（P〈0.05）. The observation group had obviously lower pain degree than the control group, and the difference had statistical significance（P〈0.05）. The control group had intrapartum bleeding volume as（1208.6±203.4） ml and neonatal Apgar score as（7.1±1.5） points. The observation group had intrapartum bleeding volume as（607.9±103.5） ml and neonatal Apgar score as（8.6±0.5） points. The observation group had obviously less intrapartum bleeding volume and higher neonatal Apgar score than the control group, and their difference had statistical significance（P〈0.05）. Conclusion Combination of free position labor and labor pain relief method is helpful for relieving labor pain in eutocia primipara, reducing intrapartum hemorrhage volume, and shortening stage of labor time. This method can improve neonatal condition, and it is worth promoting.