间苯三酚联合导乐仪镇痛分娩对自然分娩产妇产程、心理及分娩结局的影响

Effects of phloroglucinol combined with doula instrument analgesic labor on labor process,psychology and pregnancy outcome of natural labor

目的探讨间苯三酚联合导乐仪镇痛分娩在自然分娩产妇中的应用效果及对产程进展、分娩结局的影响。方法选取2019年5月至2021年5月于宜春市妇幼保健院自然分娩的产妇60例,按数表法随机分为对照组和观察组,每组各30例。对照组予以间苯三酚镇痛,观察组加用导乐仪镇痛。比较两组产程进展、宫颈口扩张速度、宫口开大情况、疼痛程度、心理状态、新生儿Apgar评分、产后出血量及分娩结局。结果观察组产妇第一产程、第二产程、第三产程、总产程时间分别为(308.59±32.28)min、(30.52±4.17)min、(6.52±1.13)min、(345.63±35.71)min,短于对照组的(362.65±36.96)min、(41.28±4.35)min、(6.78±1.15)min、(410.71±40.35)min,差异有统计学意义(P<0.05);观察组产妇的宫颈口扩张速度、宫口开大情况分别为(2.51±0.35)cm/h、(4.25±0.76)cm,高于对照组的(2.51±0.35)cm/h、(4.25±0.76)cm,差异有统计学意义(P<0.05);观察组产妇疼痛程度轻于对照组,焦虑自评量表(self–rating anxiety scale,SAS)评分、抑郁自评量表(self–rating depression scale,SDS)评分分别为(38.56±4.37)分、(40.36±4.52)分,低于对照组的(44.51±4.68)分、(46.78±4.83)分,差异有统计学意义(P<0.05);观察组新生儿Apgar评分为(9.58±0.25)分,高于对照组的(9.53±0.22)分;观察组产后出血量为(148.96±12.15)ml,少于对照组的(169.75±15.32)ml,观察组不良分娩结局发生率为10.00%,低于对照组的33.33%,差异有统计学意义(P<0.05)。结论间苯三酚联合导乐仪镇痛可加快自然分娩产妇产程进展,促进宫口扩张,减轻分娩疼痛,减少负面情绪滋生,且对新生儿无明显影响。

Objective To investigate the effect of phloroglucinol combined with doula analgesia in natural spontaneous labor and its effect on the labor progress and delivery outcome.Methods A total of 60 cases of spontaneous labor who delivered naturally in Yichun Maternal and Child Health Hospital from May 2019 to May 2021 were selected and divided into two groups by random number table method.The control group was given phloroglucinol for analgesia,and the observation group was given doula for analgesia.The labor progress,cervical dilation rate,cervical dilatation,pain degree,psychological state,neonatal Apgar score,postpartum blood loss and delivery outcome were compared between the two groups.Results The first stage,second stage,third stage and total stage of labor in observation group were(308.59±32.28)min,(30.52±4.17)min,(6.52±1.13)min,(345.63±35.71)min,shorter than(362.65±36.96)min,(41.28±4.35)min,(6.78±1.15)min,(410.71±40.35)min in the control group,with statistical difference(P<0.05).The cervical dilation rate and cervix dilatation in the observation group were(2.51±0.35)cm/h and(4.25±0.76)cm,which were higher than(2.51±0.35)cm/h and(4.25±0.76)cm in the control group,with statistical difference(P<0.05).The pain degree in the observation group was lighter than that in the control group,and the self–rating anxiety scale(SAS)score and self–rating depression scale(SDS)score were(38.56±4.37)points and(40.36±4.52)points,lower than(44.51±4.68)points and(46.78±4.83)points in the control group,with statistical difference(P<0.05).The neonatal Apgar score of the observation group was(9.58±0.25)points,which was higher than(9.53±0.22)points of the control group,the amount of postpartum blood loss in the observation group was(148.96±12.15)ml,less than(169.75±15.32)ml in the control group,and the incidence of adverse delivery outcome was 10.00%,lower than that 33.33%the control group,with statistical difference(P<0.05).Conclusion Phloroglucinol combined with doula analgesia can accelerate the progress of labor process,promote cervix dilatation,relieve labor pain,reduce negative emotions,and has no significant effect on neonates.