拉玛泽分娩法联合腰硬联合阻滞对产妇分娩结局的影响

Effect of Lamaze Delivery Method Combined with Lumbar Epidural Block on Outcome of Parturient Delivery

目的对比观察拉玛泽分娩法联合腰硬联合阻滞麻醉对产妇分娩过程及结局的影响及临床作用。方法选取2016年4月至2018年12月来本院自愿进行分娩的孕产妇134例,随机分为观察组与对照组,对照组在分娩过程中使用腰硬联合阻滞,观察组在此基础上联合应用拉玛泽分娩法,对比观察其临床效果及分娩结局。结果观察组产妇第一产程与总产程相比对照组明显缩短,疼痛程度与产后2 h出血量明显少于对照组,剖宫产率与新生儿窒息率显著低于对照组,新生儿Apgar评分则高于对照组(P<0.05),差异有统计学意义。结论在产妇分娩过程中联合应用拉玛泽分娩法与腰硬联合阻滞,能够有效缓解产妇疼痛,明显改善母婴分娩结局。

Objective To compare and observe the effect and clinical effect of lamaze delivery method combined with lumbar epidural block anesthesia on the process and outcome of maternal delivery.Methods A total of 134 pregnant and parturient women who voluntarily gave birth in our hospital from April 2016 to December 2018 were selected and randomly divided into the observation group and the control group.The control group was treated with lumbar epidural block in the process of childbirth,and the observation group was combined with lamaze delivery method on this basis.The clinical effect and delivery outcomes were observed.Results Compared with the control group,the first stage of labor in the observation group was significantly shorter than the total stage of labor in the control group,the degree of pain and postpartum 2h blood loss were significantly less than the control group,the rate of cesarean section and neonatal asphyxia were significantly lower than the control group,and the Apgar score of the newborn was higher than the control group,the differences were all statistically significant(P<0.05).Conclusion lamaze delivery combined with lumbar epidural block can effectively relieve maternal pain and significantly improve the outcome of maternal and infant delivery.