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目的探讨腰硬联合与精神预防性镇痛协同作用对自然分娩疼痛程度及心理因素的影响。方法选取86例自然分娩产妇作为研究对象,随机分为两组,每组43例,对照组给予腰硬联合麻醉镇痛,观察组则在此基础上联合精神预防性镇痛,比较两组产妇分娩的疼痛程度以及镇痛前后焦虑自评量表(SAS)及抑郁自评量表(SDS)的评分。结果经比较,观察组的0级、1级疼痛率显著高于对照组,其2级和3级疼痛率显著低于对照组,组间差异均有统计学意义(P<0.05)。镇痛后,两组患者的SAS和SDS评分均明显低于镇痛前(P<0.05),且观察组各项评分均显著低于对照组(P<0.05)。结论精神预防性镇痛与腰硬联合联合对自然分娩具有良好的协同作用,可以明显减轻产妇的痛感,缓解心理压力,镇痛效果显著,适合进行临床推广。
Objective To investigate the effect of combined spinal and epidural analgesia (CPHD) on the pain and psychological factors of spontaneous labor. Methods Eighty-six cases of spontaneous labor were randomly divided into two groups, 43 cases in each group. The control group was given analgesia combined with spinal and epidural anesthesia. On the basis of this, the observation group was given the combination of prophylactic analgesia. The degree of pain during childbirth and the self-rating anxiety scale (SAS) and depression self-rating scale (SDS) before and after the analgesia. Results Compared with the control group, the pain rates of grade 0 and grade 1 in the observation group were significantly higher than those in the control group. The pain rates of grade 2 and grade 3 in the observation group were significantly lower than those in the control group. There was significant difference between the two groups (P <0.05). After analgesia, the scores of SAS and SDS in both groups were significantly lower than those before analgesia (P <0.05), and the scores in the observation group were significantly lower than those in the control group (P <0.05). Conclusions The combination of mental prophylactic analgesia and spinal and dura mater has a good synergistic effect on spontaneous labor, which can significantly reduce the pain of maternal and relieve the psychological pressure. The analgesic effect is remarkable and is suitable for clinical promotion.