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目的:观察分娩球联合自由体位用于分娩过程中镇痛的临床效果。方法:选取2014年1月至2016年12月广州市番禺区中心医院产科分娩的166例初产妇,随机平均分为两组:观察组83例采用分娩球联合自由体位的方式予以减轻疼痛;对照组83例采用常规方法进行分娩。观察两组产妇分娩过程中的疼痛评分情况并进行统计学分析。结果:观察组疼痛分级为0级的患者占34.9%,明显高于对照组的6.0%;1级占31.3%,明显高于对照组的15.7%;2级占19.3%,明显低于对照组的49.4%;3级占14.5%,明显低于对照组的28.9%。组间比较,差异具有统计学意义(P<0.05)。结论:分娩球联合自由体位可以显著减轻产妇分娩疼痛,安全有效。
OBJECTIVE: To observe the clinical effect of labor combined with free position on analgesia during childbirth. METHODS: A total of 166 primiparous women delivered from January 2014 to December 2016 in Panyu Central Hospital of Guangzhou were randomly divided into two groups: 83 cases in the observation group were relieved of pain by delivery ball combined with free position; Group 83 cases using conventional methods of delivery. The pain score of the two groups during childbirth was observed and statistically analyzed. Results: The pain score of the observation group was 34.9%, which was significantly higher than that of the control group (6.0%). The first grade was 31.3%, significantly higher than the control group (15.7%) and the second grade (19.3%), which was significantly lower than that of the control group Of 49.4%; grade 3 accounted for 14.5%, significantly lower than the control group 28.9%. The differences between groups were statistically significant (P <0.05). Conclusions: The combination of birth ball and free position can significantly reduce the pain of childbirth and is safe and effective.