分娩球自由体位助产联合分娩镇痛仪对初产妇产痛的影响

The Effect of Delivery Ball Free Position Assisted Delivery Combined With Delivery Analgesia Device on the Pain of Primiparous Women During Childbirth

目的分析初产妇应用分娩球自由体位助产联合分娩镇痛仪对产痛、分娩结局的影响。方法选取2021年1月—2022年12月于徐州市中心医院产科分娩的98例初产妇,按照随机数字表法分组。对照组(49例)行分娩球自由体位助产,研究组(49例)在对照组基础上联合分娩镇痛仪。比较两组的产痛程度、产程时间、分娩方式、疼痛介质、疲乏程度及不良妊娠结局。结果研究组疼痛数字评分法(pain digital scoring method,NRS)评分为(5.11±1.06)分,低于对照组的(6.77±1.15)分,差异有统计学意义(t=7.429,P<0.05)。研究组第一、第二、第三及总产程时间分别为(385.45±3.45)min、(50.44±3.16)min、(5.22±0.36)min及(442.15±10.69)min,短于对照组的(408.56±6.55)min、(63.45±4.12)min(、6.55±1.01)min及(486.98±15.36)min(P<0.05)。研究组剖宫产率(6.12%)低于对照组(22.45%),差异有统计学意义(χ^(2)=5.333,P<0.05)。研究组干预后前列腺素E_(2)(prostaglandin E_(2),PGE_(2))、P物质(substance P,SP)水平低于对照组(P<0.05)。两组5-羟色胺(5-hydroxytryptamine,5-HT)水平比较,差异无统计学意义(P>0.05)。研究组干预后脑力疲乏、躯体疲乏评分低于对照组(P<0.05)。研究组不良妊娠结局率(6.12%)低于对照组(28.57%),差异有统计学意义(χ^(2)=8.611,P<0.05)。结论初产妇应用分娩球自由体位助产联合分娩镇痛仪,有利于减轻产妇产痛,降低剖宫产率,促进妊娠结局改善,并缩短产程时间。

Objective To analyze the impact of using delivery ball free body position assisted delivery combined with delivery analgesia device on labor pain and delivery outcomes in primiparous women.Methods A total of 98 primiparous women who gave birth in obstetrics from January 2021 to December 2022 of department of obstetrics,Xuzhou Central Hospital were selected and divided into two groups by a random number table method.The control group received49 cases of free body delivery with delivery balls,while the study group received 49 cases of combined delivery analgesia on the basis of the control group.The degree of labor pain,duration of labor,delivery method,pain medium,fatigue level,and adverse pregnancy outcomes were compared between the two groups.Results The pain digital scoring method(NRS) score of the study group was(5.11±1.06) points,lower than the control group's(6.77±1.15) points,the difference was statistically significant(t=7.429,P<0.05).The first,second,third,and total duration of labor in the study group were(385.45±3.45) minutes,(50.44±3.16) minutes,(5.22±0.36) minutes,and(442.15±10.69) minutes,respectively,which were shorter than those in the control group(408.56±6.55)minutes,(63.45±4.12) minutes,(6.55±1.01) minutes.and(486.98±15.36) minutes(P0.05).The cesarean section rate of 6.12% in the study group was lower than that of22.45% in the control group,the difference was statistically significant(χ^(2)=5.333,P0.05).After intervention,the levels of prostaglandin E_(2)(PGE_(2)) and substance P(SP) in the study group were lower than those in the control group(P<0.05);there was no significant difference in 5-hydroxytryptamine(5-HT) levels between the two groups before and after intervention(P>0.05).After intervention,the scores of mental fatigue and physical fatigue in the research group were lower than those in the control group(P<0.05).The adverse pregnancy outcome rate of 6.12% in the study group was lower than that of 28.57% in the control group,the difference was statistically significant(χ^(2)=8.611,P<0.05).Conclusion The application of delivery ball free body position assisted delivery combined with delivery analgesia device in primiparous women is beneficial for reducing labor pain,reducing cesarean section rate,promoting improvement of pregnancy outcomes,and shortening the delivery process time.