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目的分析自由体位分娩法联合分娩减痛法在初产顺产孕妇中的应用价值。方法 120例初产顺产孕妇,随机分为观察组与对照组,各60例。对照组行自由体位分娩,观察组应用自由体位分娩联合分娩减痛法,比较两组产程时间、疼痛情况、分娩中出血量及新生儿Apgar评分。结果对照组第一产程(8.9±1.2)h,第二产程(1.9±0.3)h,第三产程(12.6±2.8)min,总产程(11.4±3.8)h;观察组第一产程(6.5±1.1)h,第二产程(1.1±0.2)h,第三产程(6.5±1.6)min,总产程(7.9±1.5)h。观察组三个产程及总产程时间均明显少于对照组,差异具有统计学意义(P<0.05)。观察组疼痛程度明显低于对照组,差异具有统计学意义(P<0.05)。对照组分娩中出血量(1208.6±203.4)ml,新生儿Apgar评分(7.1±1.5)分;观察组分娩中出血量(607.9±103.5)ml,新生儿Apgar评分(8.6±0.5)分;观察组分娩中出血量显著少于对照组,新生儿Apgar评分显著高于对照组,差异具有统计学意义(P<0.05)。结论自由体位分娩法联合分娩减痛法有助于减轻初产顺产孕妇的分娩疼痛,减少分娩出血量,缩短产程时间,可改善新生儿情况,值得推广。
Objective To analyze the value of free bodily delivery combined with labor pain reduction in primiparous pregnant women. Methods 120 cases of primiparous pregnant women, were randomly divided into observation group and control group, each 60 cases. The control group was given free physical delivery. The observation group was given free-form labor combined with pain relief method. The duration of labor, pain, bleeding during delivery and Apgar score of neonates were compared. Results In the control group, the first stage of labor (8.9 ± 1.2) h, the second stage of labor (1.9 ± 0.3) h, the third stage of labor (12.6 ± 2.8) min, the total stage of labor (11.4 ± 3.8) h; 1.1) h, the second stage of labor (1.1 ± 0.2) h, the third stage of labor (6.5 ± 1.6) min, the total stage of labor (7.9 ± 1.5) h. The three labor courses and the total labor duration in the observation group were significantly less than those in the control group, the difference was statistically significant (P <0.05). The degree of pain in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). In the control group, the amount of bleeding during delivery was (1208.6 ± 203.4) ml and the Apgar score was (7.1 ± 1.5) points in newborns. The bleeding volume in the observation group (607.9 ± 103.5) ml and the neonatal Apgar score (8.6 ± 0.5) The amount of bleeding in childbirth was significantly less than that in control group, and Apgar score in neonates was significantly higher than that in control group (P <0.05). Conclusions Free physical delivery combined with labor pain reduction method can help to reduce the labor pain of primiparous pregnant women, reduce the amount of bleeding during labor, shorten the labor time and improve the neonatal situation, which is worth promoting.