AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly...AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly divided into three groups, Lamaze group, anesthetic group and control group. Two hundred and twenty-four patients of Lamaze group, the "Lamaze method of colonoscopy" were practiced in the process of colonoscopy. The Lamaze method of colonoscopy is modified from the Lamaze method of childbirth, which helped patients to relieve pain through effective breathing control. One hundred and seventy-eight patients in anesthetic group accepted sedation colonoscopy. For 183 patients in control group, colonoscopy was performed without any intervention. The satisfactory of colon cleaning, intestinal lesions, intubation time, success ratio, pain grading and complications were recorded. All data were statistically analyzed.RESULTS: There were no significant differences at base line of the three groups(P > 0.05). Anesthetic group shows advantage in intubation time than the other two groups(P < 0.05). Lamaze group shows no advantagein intubation time than that in control group(P > 0.05). The anesthetic group showed an apparent advantage in relieving pain(P < 0.01). Therefore, the "Lamaze method of colonoscopy" performed in colonoscopy could relieve pain effectively comparing with control group(P < 0.05). The patients in anesthetic group had the highest incidence of complications(P < 0.05).CONCLUSION: The performance of the "Lamaze method of colonoscopy" in the process of colonoscopy could relieve patients' pain, minimize the incidence of complications, and is worthy promotion in clinical practice.展开更多
目的 探讨联想分娩、Lamaze呼吸与Kegel运动三联训练（SLK训练）对围产期抑郁（Perinatal depression,PND）及产后性生活质量的作用.方法 妊娠24周前来本院产科门诊孕检的单胎初产妇,按照是否自愿参加SLK训练分为研究组（n=232）和对照...目的 探讨联想分娩、Lamaze呼吸与Kegel运动三联训练（SLK训练）对围产期抑郁（Perinatal depression,PND）及产后性生活质量的作用.方法 妊娠24周前来本院产科门诊孕检的单胎初产妇,按照是否自愿参加SLK训练分为研究组（n=232）和对照组（n=126）,2组孕妇均接受常规产前保健,研究组额外进行SLK训练.应用抑郁自评量表（SDS）、国际盆底肌检查分级标准、女性性功能指数（The female sexual function inventory,FSFI）,评定抑郁、盆底综合肌张力及性功能指数（The female sexual function inventory,FSFI）.结果 分娩后6个月,研究组和对照组抑郁发生率（10.3％ vs 18.3％）,SDS评分[（43.6±5.1） vs（45.3±6.3）],盆底综合肌张力评分[（3.36±0.33） vs（2.46±0 89）],性生活指数达标率（81.5％ vs 65.9％）,差异均具有统计学意义（P＜0.05）.结论 SLK训练方案具有预防、治疗围产期抑郁,改善妊娠分娩结局以及提高性生活质量的作用.展开更多
目的:探究采用拉马泽呼吸法联合经皮低频电刺激对产妇分娩镇痛疗效与分娩质量的影响。方法:选择足月单胎初产妇180例,采用便利抽样法随机分为对照组、电刺激组和联合模式组,每组各60例。对照组应用常规疼痛护理;电刺激组采用低频神经和...目的:探究采用拉马泽呼吸法联合经皮低频电刺激对产妇分娩镇痛疗效与分娩质量的影响。方法:选择足月单胎初产妇180例,采用便利抽样法随机分为对照组、电刺激组和联合模式组,每组各60例。对照组应用常规疼痛护理;电刺激组采用低频神经和肌肉刺激仪进行分娩镇痛;联合模式组应用经皮低频电刺激联合Lamaze呼吸法进行干预镇痛。观察分析3组初产妇分娩疼痛程度、产程时间、产后24 h出血量及新生儿Apgar评分。结果:联合模式组初产妇镇痛起效时间、疼痛产程、产程时间、产后24 h出血量均明显低于电刺激组、对照组(P<0.05),其新生儿1 min Apgar评分均优于电刺激组、对照组(P<0.05);联合模式组、电刺激组初产妇分娩中阴道平产率均高于对照组(P>0.05)。结论:临床应用Lamaze呼吸法联合经皮电刺激模式对初产妇分娩镇痛疗效尤为明显,且对母体与胎儿不造成任何影响,安全可靠值得推广。展开更多
基金The Dongguan science and Technology Bureau,No.201350715000809
文摘AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly divided into three groups, Lamaze group, anesthetic group and control group. Two hundred and twenty-four patients of Lamaze group, the "Lamaze method of colonoscopy" were practiced in the process of colonoscopy. The Lamaze method of colonoscopy is modified from the Lamaze method of childbirth, which helped patients to relieve pain through effective breathing control. One hundred and seventy-eight patients in anesthetic group accepted sedation colonoscopy. For 183 patients in control group, colonoscopy was performed without any intervention. The satisfactory of colon cleaning, intestinal lesions, intubation time, success ratio, pain grading and complications were recorded. All data were statistically analyzed.RESULTS: There were no significant differences at base line of the three groups(P > 0.05). Anesthetic group shows advantage in intubation time than the other two groups(P < 0.05). Lamaze group shows no advantagein intubation time than that in control group(P > 0.05). The anesthetic group showed an apparent advantage in relieving pain(P < 0.01). Therefore, the "Lamaze method of colonoscopy" performed in colonoscopy could relieve pain effectively comparing with control group(P < 0.05). The patients in anesthetic group had the highest incidence of complications(P < 0.05).CONCLUSION: The performance of the "Lamaze method of colonoscopy" in the process of colonoscopy could relieve patients' pain, minimize the incidence of complications, and is worthy promotion in clinical practice.
文摘目的 探讨联想分娩、Lamaze呼吸与Kegel运动三联训练（SLK训练）对围产期抑郁（Perinatal depression,PND）及产后性生活质量的作用.方法 妊娠24周前来本院产科门诊孕检的单胎初产妇,按照是否自愿参加SLK训练分为研究组（n=232）和对照组（n=126）,2组孕妇均接受常规产前保健,研究组额外进行SLK训练.应用抑郁自评量表（SDS）、国际盆底肌检查分级标准、女性性功能指数（The female sexual function inventory,FSFI）,评定抑郁、盆底综合肌张力及性功能指数（The female sexual function inventory,FSFI）.结果 分娩后6个月,研究组和对照组抑郁发生率（10.3％ vs 18.3％）,SDS评分[（43.6±5.1） vs（45.3±6.3）],盆底综合肌张力评分[（3.36±0.33） vs（2.46±0 89）],性生活指数达标率（81.5％ vs 65.9％）,差异均具有统计学意义（P＜0.05）.结论 SLK训练方案具有预防、治疗围产期抑郁,改善妊娠分娩结局以及提高性生活质量的作用.
文摘目的:探究采用拉马泽呼吸法联合经皮低频电刺激对产妇分娩镇痛疗效与分娩质量的影响。方法:选择足月单胎初产妇180例,采用便利抽样法随机分为对照组、电刺激组和联合模式组,每组各60例。对照组应用常规疼痛护理;电刺激组采用低频神经和肌肉刺激仪进行分娩镇痛;联合模式组应用经皮低频电刺激联合Lamaze呼吸法进行干预镇痛。观察分析3组初产妇分娩疼痛程度、产程时间、产后24 h出血量及新生儿Apgar评分。结果:联合模式组初产妇镇痛起效时间、疼痛产程、产程时间、产后24 h出血量均明显低于电刺激组、对照组(P<0.05),其新生儿1 min Apgar评分均优于电刺激组、对照组(P<0.05);联合模式组、电刺激组初产妇分娩中阴道平产率均高于对照组(P>0.05)。结论:临床应用Lamaze呼吸法联合经皮电刺激模式对初产妇分娩镇痛疗效尤为明显,且对母体与胎儿不造成任何影响,安全可靠值得推广。
