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目的探讨导乐分娩镇痛仪配合经络按摩在初产妇分娩中的临床效果。方法将单胎妊娠初产妇240例随机分为观察组和对照组各120例。对照组产妇采用常规分娩方式,观察组产妇采用导乐分娩镇痛仪配合经络按摩的方式进行分娩,分别比较2组产妇的分娩方式、剖宫产率,记录产妇的产程时间。同时对比2组产妇分娩过程中的产痛情况,记录分娩后的阴道出血量,计算新生儿窒息发生率。结果观察组产妇的剖宫产率显著低于对照组,第一产程、第二产程和总产程均显著短于对照组产妇,差异均有统计学意义(P<0.05),第三产程的比较无显著差异(P>0.05)。观察组患者镇痛分级为0级或1级的比例显著高于对照组,而镇痛分级为2级、3级的比例均显著低于对照组,产妇胎盘娩出后的2h内阴道出血量少于对照组产妇,新生儿窒息发生率低于对照组产妇,差异均有统计学意义(P<0.05)。结论采用导乐分娩镇痛仪配合经络按摩对初产妇进行分娩能有效缩短产妇第一产程、第二产程及总产程,降低产妇的剖宫产率,镇痛效果好,对母婴结局的改善也有一定意义,值得推广应用。
Objective To investigate the clinical efficacy of Drip analgesia combined with meridian massage in the delivery of primipara. Methods One hundred and two cases of singleton pregnancy were randomly divided into observation group and control group with 120 cases each. The control group of mothers using conventional delivery mode, the observation group of maternal childbirth analgesia instrument with meridian massage delivery, were compared two groups of maternal delivery methods, cesarean section rate, maternal labor records the time. At the same time, the labor pains in the two groups were compared, the amount of vaginal bleeding after delivery was recorded, and the incidence of neonatal asphyxia was calculated. Results The rate of cesarean section in the observation group was significantly lower than that in the control group. The first stage of labor, the second stage of labor and the total stage of labor were significantly shorter than those of the control group (P <0.05). The third stage of labor No significant difference (P> 0.05). The proportion of analgesic grade 0 or grade 1 in the observation group was significantly higher than that of the control group, while the grade of analgesia was grade 2 and grade 3, and the proportion of vaginal bleeding in the observation group was significantly lower than that of the control group In the control group, maternal and neonatal asphyxia rates were lower than those in the control group, the differences were statistically significant (P <0.05). Conclusion The delivery of labor analgesia instrument with meridian massaging of primipara can shorten the first stage of labor, second stage of labor and the total labor process, reduce the rate of maternal cesarean section, analgesic effect is good, the improvement of maternal and infant outcomes There is also some significance, it is worth promoting application.