音乐与催眠治疗在分娩镇痛中的应用研究

Study on the application of music and hypnotherapy in labor analgesia

目的:观察音乐与催眠治疗在自由体位分娩镇痛中的效果。方法:收治足月单胎初产妇60例,随机平分两组。干预组在产程开始至宫口全开期间使用音乐与催眠放松治疗,对照组自然分娩,不进行干预。连续监测产妇呼吸、循环状况,评价镇痛效应和放松程度。观察产程进展,观察母婴不良反应及评价新生儿情况。结果:活跃期及第二产程时间干预组显著高于对照组(P<0.05),对照组剖宫产率高于干预组(P<0.01)。结论:音乐与催眠治疗镇痛安全、有效,降低了剖宫产率,不影响新生儿呼吸和循环,无不良反应。

Objective:To observe the effect of music and hypnosis treatment in free position for labor analgesia.Methods:60casesof full-term singleton primipara were selected.They were randomly divided into the two groups on average.The intervention groupwas treated with music and hypnotic relaxation during the beginning of the labour course to the full mouth of the uterus.Thecontrol group was given natural childbirth without intervention.The status of respiration and circulation were monitoredcontinuously,and the analgesic effect and relaxation degree were evaluated.We observed the progress of labor,observed theadverse reactions of mother and infant,and evaluated the situation of newborns.Results:The active phase and the second stage oflaborⅡin the intervention group were significantly higher than those in the control group(P<0.05).The cesarean section rate inthe control group was higher than that in the intervention group(P<0.01).Conclusion:Music and hypnosis treatment analgesia issafe and effective.It can reduce the cesarean section rate,not affect the neonatal respiratory cycle,with no adverse reactions.