催眠技术联合镇痛仪应用于自然分娩产程对母婴结局的影响研究

Study on the Effect of Hypnosis Technique Combined with Analgesia on Maternal and Infant Outcomes during Spontaneous Labor and Delivery

目的:探究催眠技术与非药物镇痛仪联合应用于自然分娩产程中对母婴结局的影响。方法:回顾性分析郑州大学第一附属医院2021年3月—2022年3月收治的315例产妇的临床资料,且产妇入院时均有意愿自然分娩。根据产妇个人对镇痛方式选择的意愿分为对照组(n=156)和观察组(n=159)。对照组产妇采用常规镇痛,观察组产妇给予催眠技术与非药物镇痛仪相结合镇痛。对比两组产妇分娩的母婴结局。结果:干预后,观察组产妇各项分娩情况均显著优于对照组,差异有统计学意义(t=17.575、12.317、11.359、71.114,P<0.05);各产程阶段的产痛情况均轻于对照组,差异有统计学意义(t=7.646、11.396、13.621,P<0.05);观察组产妇顺产率高于对照组,差异有统计学意义(t=21.453,P<0.05);观察组产妇新生儿结局优于对照组,各项情绪评分低于对照组,各项血流动力学指标明显低于对照组,差异有统计学意义(t=34.330、20.998、43.589、20.335、19.225、17.060,P<0.05)。结论:在分娩过程中,给予产妇催眠技术联合非药物镇痛仪展开镇痛干预,可合理缩短产程,减轻各产程产痛程度,提高顺产率,改善新生儿结局,减少产妇分娩中焦虑等负面情绪,稳定生命体征,保障母婴结局。

Objective:To investigate the effect of combined hypnosis technique and non-pharmacological analgesia on maternal and infant outcomes during labor.Methods:A total of 315 women admitted to the hospital from March 2021 to March 2022 who were willing to deliver spontaneously at the time of admission were selected and divided into a control group(n=156)and an observation group(n=159)according to their individual willingness to choose their analgesic method.The control group was given conventional analgesia and the observation group was given a combination of hypnotic techniques and non-pharmacological analgesia devices.Maternal and infant outcomes in the two groups of deliveries were compared.Results:After the intervention,all deliveries in the observation group were significantly better than those in the control group,with statistically significant differences(t=17.575,12.317,11.359,71.114,P<0.05).Labor pain at all stages of labor was significantly less than in the control group,with statistically significant differences(t=7.646,11.396,13.621,P<0.05).The smooth delivery rate in the observation group was significantly higher than that in the control group,with statistically significant differences(t=21.453,P<0.05).The neonatal outcome was significantly better in the observation group than in the control group,and all emotional scores were significantly lower than in the control group,and all hemodynamic indices were significantly lower than in the control group,with statistically significant differences(t=34.330,20.998,43.589,20.335,19.225,17.060,P<0.05).Conclusion:During labor and delivery,the combination of hypnosis and non-pharmacological analgesia can reasonably shorten the duration of labor,reduce the degree of labor pain in each stage of labor,increase the rate of normal labor,improve neonatal outcome,reduce anxiety and other negative emotions during labor,stabilize vital signs,and protect maternal and infant outcomes.