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目的探讨拉玛泽呼吸法联合导乐仪用于分娩镇痛的临床效果。方法 120例初产妇,随机分为对照组和观察组,各60例。观察组实行拉玛泽呼吸法联合非药物无创伤导乐仪镇痛分娩,对照组不采取任何干预措施,自然进入产程。比较两组自然分娩产妇疼痛程度、中转剖腹率、总产程时间及镇痛对母儿的不良反应情况。结果研究组分娩过程中视觉模拟评分法(VAS)评分为(3.92±0.21)分、总产程时间为(5.42±0.98)h,均优于对照组的(8.13±0.77)分、(8.67±1.64)h,差异均具有统计学意义(P<0.05)。研究组中转剖腹率(5.00%)显著低于对照组(21.67%),差异具有统计学意义(P<0.05)。母儿均无不良反应。结论拉玛泽呼吸法联合导乐仪对分娩有明显的镇痛效果,加快产程进展,促进自然分娩,对母儿均无不良影响,且操作简单方便,产妇乐于接受,适于在基层单位推广使用。
Objective To investigate the clinical effect of Lamaze respiration combined with guide instrument on labor analgesia. Methods 120 cases of primipara, were randomly divided into control group and observation group, 60 cases each. The observation group was administered Ramazha respiratory combined with non-drug non-invasive lead-induced analgesia childbirth, the control group did not take any interventions, naturally into the labor process. The two groups were compared on the degree of pain in spontaneous labor, the rate of laparotomy in laparotomy, the duration of labor and the adverse reaction of analgesia to maternal and child. Results The score of visual analogue scale (VAS) during delivery in study group was (3.92 ± 0.21) points and the total labor time was (5.42 ± 0.98) h, which was significantly better than that in control group (8.13 ± 0.77), (8.67 ± 1.64 ) h, the differences were statistically significant (P <0.05). The laparotomy rate (5.00%) in the study group was significantly lower than that in the control group (21.67%), the difference was statistically significant (P <0.05). No adverse reactions in both mother and child. Conclusion Lamaze respiration combined with guided instrument has obvious analgesic effect on childbirth, to speed up the progress of labor and promote natural childbirth, no adverse effects on the mother and child, and the operation is simple and convenient, maternal happy to accept, suitable for promotion in the grass-roots units use.