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目的观察可行走式无痛分娩在临床中的镇痛效果,并探讨其对母婴的影响。方法将120例初产妇随机分成研究组及对照组各60例。研究组采用可行走式无痛分娩,对照组采用常规自然分娩。比较2组剖宫产情况、产后3h的出血量、产妇产程时间、胎儿窘迫及新生儿1min及10min Aggar评分。结果研究组剖宫产率明显低于对照组(P<0.05),研究组产妇第一产程时间明显短于对照组(P<0.05)。2组产后3h出血量、第二、三产程时间、胎儿窘迫发生率、1min Apgar评分、10min Apgar评分比较差异均无统计学意义(P>0.05)。结论可行走式无痛分娩镇痛效果良好,可缩短第一产程,降低剖宫产率,值得临床推广应用。
Objective To observe the analgesic effect of walkable painless labor in clinic and to explore its effect on mother and infant. Methods 120 cases of primipara were randomly divided into study group and control group of 60 cases. The study group used walking painless delivery, the control group using conventional natural childbirth. The incidences of cesarean section, 3h postpartum hemorrhage, maternal labor, fetal distress and neonatal 1min and 10min Aggar scores were compared. Results The rate of cesarean section in study group was significantly lower than that in control group (P <0.05). The time of first stage of labor in study group was significantly shorter than that in control group (P <0.05). There was no significant difference in blood loss, second and third stage of labor, incidence of fetal distress, Apgar score at 1min, Apgar score at 10min between the two groups (P> 0.05). Conclusion The painless analgesic effect of walking painless can shorten the first stage of labor and reduce the rate of cesarean section, which is worthy of clinical application.