导乐分娩镇痛联合全程陪伴无痛分娩在高龄产妇的应用

Application of Doula Delivery Apparatus Combined with Whole Process Painless Delivery in Elderly Parturient Women

目的:评估导乐分娩镇痛联合全程陪伴无痛分娩在高龄产妇的应用效果。方法:选取2016年1月—2017年1月在深圳市妇幼保健院产科待产的160例高龄初产妇作为研究对象,采用随机数字表法分为2组,每组80例,其中观察组采用导乐镇痛联合全程陪伴无痛分娩,对照组在常规待产室采用传统方法分娩。对2组产妇的产程时间、母婴结局、心理状态和疼痛评分进行比较。结果:观察组的第一、二产程和总产程时间均少于对照组,差异有统计学意义(均P<0.05);2组的第三产程时间比较差异无统计学意义(P>0.05)。观察组阴道分娩率高于对照组,差异有统计学意义(P<0.05)。2组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。观察组有焦虑感、恐惧感者所占比例低于对照组,有安全感者所占比例高于对照组,差异均有统计学意义(P<0.05)。观察组分娩时疼痛视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义[(3.53±1.22)分vs.(8.15±1.48)分,t=9.576,P=0.000]。结论:导乐分娩镇痛联合全程陪伴无痛分娩可缓解高龄产妇的分娩疼痛,缩短产程时间,改善心理状态,提高阴道分娩率,值得在高龄产妇中推广应用。

Objective:To evaluate the effictiveness of the doula delivery analgesia apparatus combined with the whole process painless delivery in those elderly parturient women.Methods:A total of 160 cases of elderly primipara in maternal and child health hospital of shenzhen city from January 2016 to January 2017 were randomly divided into two groups.Cases in the observation group(n=80)were treated with the doula delivery analgesia apparatus combined with the whole process painless delivery,while cases in the control group(n=80)with the traditional delivery way in the conventional labour room.The duration of labor and the outcomes of mother and infant were compared.Results:The first and second stages of labor,and total labor stage,in the observation group were significantly shorter than those in the control group(P<0.05).However,there was no significant difference in the third stage of labor between the two groups(P>0.05).The rate of vaginal delivery in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in the rate of neonatal asphyxia between the two groups(P>0.05).The observation group had better security sense,and lower rate anxiety and fear when compared with the control group(P<0.05).The VAS score of labor pain in the observation group was significantly better than that in the control group[(3.53±1.22)vs.(8.15±1.48),t=9.576,P=0.000].Conclusions:The doula delivery analgesia apparatus combined with the whole process painless delivery can be recommended to use in those elderly parturient women,with the advantages of the alleviated pain,the shorten delivery time and the improved mental state.The rate of vaginal delivery in those women with this method can also be increased.