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目的观察分析联合分娩镇痛与笑气吸入镇痛、硬膜外自控镇痛在分娩中的作用。方法选择住院分娩的单胎头位初产妇140例,予导乐陪伴联合拉玛泽呼吸及水针镇痛(联合组),与同期应用导乐陪伴联合硬膜外自控镇痛(硬膜外组133例)及导乐陪伴联合笑气吸入镇痛(笑气组135例)相比较。结果三组镇痛效果比较,差异有统计学意义,联合组与硬膜外组明显优于笑气组;三组产程时间比较差异有统计学意义,联合组与笑气组活跃期时间短于硬膜外组(P<0.01),联合组第二产程时间短于硬膜外组及笑气组(P<0.05);三组产妇分娩方式、产后出血量、新生儿窒息率的比较,差异无统计学意义(P>0.05)。结论联合分娩镇痛创伤小,操作简便易行,缩短产程,安全有效,值得推广。
Objective To observe and analyze the combined labor analgesia and nitrous oxide inhalation analgesia, epidural analgesia in childbirth. Methods One hundred and fourteen cases of single-head primiparous women who were hospitalized for delivery were enrolled in this study. Doppler echocardiography combined with Lamaze respiration and aqueous acupuncture analgesia (combination group) were used in combination with Doppler echocardiography (epidural) Group 133 cases) and dulcimer accompanied by nitrous oxide inhalation analgesia (smoker group 135 cases) compared. Results The analgesic effects of the three groups were statistically significant, the combined group and epidural group was significantly better than the nitrous oxide group; the three groups were statistically significant differences in labor time, the combined group and the nitrous oxide group was shorter than the active period Epidural group (P <0.01), the time of the second stage of labor in the combined group was shorter than that in the epidural group and the laughing gas group (P <0.05). The differences of the mode of delivery, the amount of postpartum hemorrhage and the rate of neonatal asphyxia No statistical significance (P> 0.05). Conclusion Combined labor analgesia trauma, simple and easy to operate, shorten the labor process, safe and effective, it is worth promoting.