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目的:观察探讨硬膜外阻滞麻醉分娩镇痛配合Doula式分娩及连续胎心监护的临床应用价值。方法:选择我院2010年5月至2013年5月进入活跃期的初产妇426例,按照产妇自由意愿,其中212例采用了硬膜外阻滞麻醉分娩镇痛配合Doula式分娩及连续胎心监护,设为观察组;剩余214例采用了常规Doula式分娩及连续胎心监护,设为对照组,观察对比两组分娩镇痛效果及母儿结局。结果:观察组分娩过程疼痛评分显著低于对照组,P<0.05,第一产程时间明显比对照组缩短,P<0.05,具有统计学意义;两组的分娩方式比例、产后出血发生率、胎儿宫内窘迫发生率、新生儿窒息率比较无明显差异,P>0.05,无统计学意义。结论:硬膜外阻滞麻醉分娩镇痛配合Doula式分娩及连续胎心监护,可以有效缩短第一产程,减轻分娩过程的疼痛,同时不会影响母儿结局,安全可靠。
Objective: To investigate the clinical value of epidural anesthesia for labor analgesia combined with Doula delivery and continuous fetal heart rate monitoring. Methods: 426 cases of primipara in our active period from May 2010 to May 2013 were selected. Among them, 212 cases were given epidural analgesia combined with Doula delivery and continuous fetal heart rate Guardian, as the observation group; the remaining 214 cases using conventional Doula-type childbirth and continuous fetal heart monitoring, as the control group, observing and comparing two groups of labor analgesic effect and maternal and child outcomes. Results: The pain scores in the observation group during delivery were significantly lower than those in the control group (P <0.05), and the time of the first stage of labor was significantly shorter than that of the control group (P <0.05). The proportions of delivery modes, the incidence of postpartum hemorrhage, The incidence of intrauterine distress, neonatal asphyxia no significant difference, P> 0.05, no statistical significance. Conclusion: Epidural analgesia and labor analgesia combined with Doula delivery and continuous fetal heart rate monitoring can effectively shorten the first stage of labor and relieve the pain during childbirth, and will not affect the outcome of maternal and infant and is safe and reliable.