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目的:观察导乐陪产联合GT-4A电脑疼痛治疗仪用于分娩镇痛的效果以及对分娩方式、产程干预、新生儿评分、产后出血、剖宫产成因及缩宫素使用率的影响。方法:将2013年1~11月在本溪市中心医院产科单胎足月健康初产妇247例根据随机及自愿原则分为镇痛组112例和对照组135例,两组产妇在宫口开3 cm时均由1名高年资的助产师导乐分娩,镇痛组的产妇使用GT-4A电脑疼痛治疗仪给予脉冲波疗法。结果:镇痛组镇痛前、后疼痛程度及镇痛后镇痛组与对照组疼痛程度、活跃期时间、剖宫产率及成因差异均有统计学意义(P<0.05),镇痛组与对照组第二产程、第三产程及产后出血、新生儿窒息发生率、缩宫素使用率差异无统计学意义(P>0.05)。结论:导乐陪产联合GT-4A电脑疼痛治疗仪镇痛分娩的镇痛效果明显,显著降低剖宫产率尤其是社会因素及胎儿窘迫构成的剖宫产率,有效缩短活跃期时间,对母儿无不良影响。
OBJECTIVE: To observe the effect of doule paternity combined with GT-4A computer pain therapy apparatus on labor analgesia and its effects on delivery mode, labor process, neonatal score, postpartum hemorrhage, causes of cesarean section and oxytocin usage. Methods: From January to November 2013 in Benxi City Central Hospital obstetric single fetal full-term healthy primipara 247 cases based on random and voluntary principles were divided into analgesic group 112 cases and control group 135 cases, the two groups of women in the cervix 3 cm by a midwife by a senior midwife delivery, analgesia group of mothers using GT-4A computer pain treatment instrument given pulse wave therapy. Results: The degree of pain in the analgesic group before and after the analgesia, the degree of pain in the analgesic group and the control group after the analgesic pain, the active period, the rate of cesarean section and the causes were all significantly different (P <0.05) Compared with the control group, the second stage of labor, the third stage of labor and postpartum hemorrhage, the incidence of neonatal asphyxia, oxytocin use difference was not statistically significant (P> 0.05). Conclusion: The analgesic effect of doule paternity combined with GT-4A computer pain reliever analgesia and childbirth is obvious, and the cesarean section rate, especially the cesarean section rate caused by social factors and fetal distress, is significantly reduced, which effectively shortens the active period. No adverse effects on children.