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目的探索可行走式无痛分娩镇痛在分娩中的应用效果及其影响。方法 180例孕产妇随机分为研究组和对照组,各90例。对照组实施常规方式分娩,研究组实施可行走式无痛分娩。将两组的分娩情况、各产程疼痛评分、产程以及新生儿情况进行对比。结果研究组顺产比例为83.33%,显著高于对照组的55.56%,研究组剖宫产比例为13.33%,显著低于对照组的38.89%,差异均具有统计学意义(P<0.05);两组研究对象产钳助产比例差异无统计学意义(P>0.05)。研究组第一产程显著短于对照组(P<0.05),研究组第二产程显著长于对照组(P<0.05),两组第三产程差异无统计学意义(P>0.05)。研究组各产程视觉模拟评分法(VAS)评分均显著低于对照组(P<0.05)。两组研究对象胎儿窘迫比例以及各时间点的Apgar评分差异均无统计学意义(P>0.05)。结论可行走式无痛分娩镇痛方式在分娩中可以产生良好的镇痛效果,能有效降低生产疼痛感,并发症发生率低,安全性高,具有极大的推广应用价值。
Objective To explore the effect and impact of painless labor analgesia in childbirth. Methods 180 cases of pregnant women were randomly divided into study group and control group, 90 cases each. The control group was given routine delivery and the study group was practiced with walkable painless delivery. The two groups of childbirth, labor pain score, labor process and neonatal conditions were compared. Results The rate of cesarean section in study group was 83.33%, which was significantly higher than that in control group (55.56%). The proportion of cesarean section in study group was 13.33%, which was significantly lower than that in control group (38.89%), with statistical significance (P <0.05) There was no significant difference in the proportion of forceps midwifery between the two groups (P> 0.05). The first stage of labor was shorter in the study group than in the control group (P <0.05). The second stage of labor was significantly longer in the study group than in the control group (P <0.05). There was no significant difference in the third stage of labor between the two groups (P> 0.05). The visual analog scale (VAS) score in each study group was significantly lower than that in the control group (P <0.05). There was no significant difference in the proportions of fetal distress and Apgar scores at all time points between the two groups (P> 0.05). Conclusion The painless labor-relieving labor analgesia method can produce good analgesic effect during childbirth, can effectively reduce the production of pain, the incidence of complications is low, high safety, and has great promotion and application value.