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目的:探讨拉玛泽分娩法联合腰硬联合阻滞分娩镇痛在分娩中应用的临床效果。方法:选择400例初产妇,分为拉玛泽联合腰硬联合阻滞分娩镇痛组(A组)、拉玛泽组(B组)、腰硬联合阻滞分娩镇痛组(C组)和导乐陪伴组(对照组D组),每组100人,观察产妇产时疼痛程度、产程时间、分娩方式、剖宫产指征、缩宫素使用、产后出血、新生儿Apgar评分等。结果:A组产妇与其他3组比较,产时疼痛程度明显减轻,产程时间缩短,自然分娩率上升,剖宫产率下降,缩宫素使用增加,差异有统计学意义(P<0.05);新生儿Apgar评分、产后出血量在4组间比较差异无统计学意义(P>0.05)。结论:拉玛泽分娩法联合腰硬联合阻滞分娩镇痛能有效减轻分娩疼痛,缩短产程,提高自然分娩率,降低剖宫产率,不影响产后出血及新生儿Apgar评分,但会增加缩宫素的使用。
Objective: To investigate the clinical effects of Lamaze delivery combined with combined spinal and epidural block analgesia in labor. Methods: 400 primiparous women were selected and divided into Lamaze combined with lumbar epidural blockade labor analgesia group (group A), Lamaze group (group B), lumbar epidural block labor analgesia group (group C) And control group (control group D), with 100 in each group. Obstetrics and Gynecology, obstetrics and gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology . Results: Compared with the other three groups, the pain in group A was significantly reduced, the labor time shortened, the rate of spontaneous delivery increased, the rate of cesarean section decreased and the use of oxytocin increased. The difference was statistically significant (P <0.05). Neonatal Apgar score, postpartum hemorrhage in the four groups was no significant difference (P> 0.05). Conclusion: Lamaze childbirth combined with spinal block and block labor analgesia can effectively reduce labor pain, shorten the labor process, increase the rate of natural delivery, reduce the rate of cesarean section, does not affect the postpartum hemorrhage and neonatal Apgar score, but will increase shrinkage Uterine use.