摘要
目的探讨导乐陪伴分娩、笑气镇痛分娩的临床效果。方法将240例正常初产妇随机分为导乐陪伴分娩组(A组)90例,导乐陪伴分娩加笑气分娩镇痛组(B组)60例和对照组(C组)90例。比较3组的产程时间、分娩方式、产时产后2h出血量、新生儿窒息率、产时疼痛程度等。结果3组总产程分别为494.75±149.21mins,484.85±143.44mins和663.78±214.20mins;剖宫产率A组12.2%,B组11.7%,C组34.4%;产时产后2h出血量A组160.13±34.00ml,B组163.30±25.23ml,C组200.20±40.02ml;新生儿窒息率A组为4.4%,B组为5%,C组为11.1%;镇痛效果:A、B组明显优于C组(P<0.001?。结论导乐陪伴分娩、笑气分娩镇痛可降低产程中产妇的疼痛程度,降低剖宫产率,减少产时产后2h出血量,降低新生儿窒息率。
Objective ： To discuss the pain relief clinical effectiveness of Doula delivery and inhalation of nitrous oxide. Methods ： The 240 cases of normal primigravida were divided into three groups in random： group A 90 cases （doula delivery group） , group B 60 cases （doula and nitrous oxide group） and group C 90 cases （control group）. The stage of labor, style of delivery, bleeding volume during labor and postlabor 2 hours, neonatal distress and parturition were compared. Results ： The total stage of labor in group A was 494. 75 f 149. 21 mins; that in group B and C were 484. 85 ± 143.44mins and 663.78 ±214. 20mins. The rate of cesarean section in three groups were 12. 2%, 11.7%and 34. 4%. Bleeding volume was 160. 13 ±34. 0Oral in group A, group B was 163.30 ± 25.23ml and group C was 200. 20 ±40. 02ml. Neonatal distress were 4. 4% , 5% and 11.1%. The effect for analgesia labor in group A and B were more better than group C （ P 〈0. 001 ）. Conclusion： Doula delivery and inhalation of nitrous oxide can decelarate parturition, can reduce rate of cesarean insection, bleeding volume and neonatal distress.
出处
《中国优生与遗传杂志》
2007年第5期81-82,共2页
Chinese Journal of Birth Health & Heredity
关键词
导乐陪伴
笑气镇痛
临床效果
Doula delivery
Inhalation of nitrous oxide
Clinical effectiveness
