导乐陪伴联合经皮电神经刺激在分娩中的临床应用研究

Clinical Application of Doula Accompany Combined with Transdermal Electrical Nerve Stimulation in Delivery

目的:探讨导乐陪伴联合经皮电神经刺激(TENS)在分娩中的临床应用效果。方法:选取2018年8月-2020年2月于本院进行分娩的单胎足月孕妇50例,按照抽签法将其分为对照组(n=25)和研究组(n=25)。对照组实施导乐陪伴联合硬膜外麻醉,研究组实施导乐陪伴联合TENS。比较两组分娩方式、新生儿Apgar评分、不良情绪、疼痛程度、产程时间及出血量。结果:研究组阴道分娩率高于对照组,且剖宫产率低于对照组(P<0.05)。两组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。干预后,研究组焦虑自评量表(self-rating anxiety scale,SAS)与抑郁自评量表(self-rating depression scale,SDS)评分均低于对照组(P<0.05)。两组各时间点视觉模拟评分法(visual analogue score,VAS)比较,差异均无统计学意义(P>0.05)。两组阴道分娩者各产程时间及出血量比较,差异均无统计学意义(P>0.05)。结论:导乐陪伴联合TENS可增加产妇的阴道分娩率,降低产妇的不良情绪,对新生儿无不良影响,值得推广应用。

Objective:To explore the clinical application of Doula accompany combined with transdermal electrical nerve stimulation(TENS)in delivery.Method:A total of 50 cases of single full-term parturients delivered in our hospital from August 2018 to February 2020 were selected.They were divided into the control group(n=25)and the study group(n=25)according to the lottery method.The control group was given Doula accompany combined with epidural anesthesia,and the study group was given Doula accompany combined with TENS.The delivery way,neonatal Apgar score,adverse emotions,pain degree,duration of labor and amount of bleeding were compared between the two groups.Result:The vaginal delivery rate in the study group was higher than that in the control group,and the cesarean section rate was lower than that in the control group(P<0.05).There was no significant difference in neonatal Apgar scores between the two groups(P>0.05).After the intervention,the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the study group were lower than those of the control group(P<0.05).There were no statistically significant differences between the two groups of visual analogue score(VAS)at each time point(P>0.05).There were no statistically significant differences in each duration of labor and the amount of bleeding between the two groups of vaginal deliveries(P>0.05).Conclusion:Doula accompany combined with TENS can increase the rate of vaginal delivery,reduce the level of bad mood,no adverse effects on the newborn,which is worth promoting.