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目的比较不同用法的曲马多在分娩镇痛中的有效性及其对母婴的影响。方法将同期住院分娩符合入选标准的产妇随机分为 3组 :实验 1组 (曲马多组 ) 3 3例 ;实验 2组 (曲马多 +耳穴贴压法 ) 3 0例 ;对照组 3 2例。分别观察镇痛效果、产程时间、分娩方式、产后出血、对胎儿、新生儿的影响及副作用。结果两实验组的镇痛效果、产程时间及产后出血量与对照组比较 ,均有显著性差异 (分别为P <0 .0 0 5、P <0 .0 1、P <0 .0 1) ;实验 1组与实验 2组之间上述 3项指标比较 (P <0 .0 5 ) ;分娩方式及对胎儿、新生儿的影响与对照组无显著性差异 (P >0 .0 5 ) ,结论两种实验方法在分娩镇痛中均具有方法简单、效果满意。能缩短产程、对母婴均无不良影响 ,但曲马多 +耳穴贴压法优于单纯曲马多组
Objective To compare the effectiveness of tramadol in labor analgesia with different usage and its effect on maternal and infant. Methods The maternal women who met the inclusion criteria during the same period of hospital delivery were randomly divided into 3 groups: 33 in experimental group 1 (tramadol group), 30 in experimental group 2 (tramadol + auricular pressure method), and 32 example. Respectively observe the analgesic effect, labor process, mode of delivery, postpartum hemorrhage, fetal and neonatal effects and side effects. Results The analgesic effect, labor duration and the amount of postpartum hemorrhage in the two experimental groups were significantly different from those in the control group (P <0.05, P <0.01, P <0.01, respectively) ; There was no significant difference in the mode of delivery and the effect on fetus and newborn between the experimental group 1 and experimental group 2 compared with the control group (P> 0.05) Conclusion Both methods have a simple method and satisfactory results in labor analgesia. Can shorten the labor process, no adverse effects on mother and child, but tramadol + auricular pressure method is better than simple tramadol group