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目的研究导乐分娩镇痛仪(导乐仪)对孕妇分娩的影响。方法 400例初产妇,按其自愿原则分为观察组和对照组,每组200例。对照组采用全程一对一导乐陪伴分娩,观察组在对照组基础上联合使用导乐仪镇痛分娩。比较两组产妇产时镇痛效果、产程时间、分娩方式、出血量、产程干预措施、满意度及新生儿情况。结果观察组产妇产时镇痛效果、第一产程、第二产程及总产程时间、满意度均高于对照组,差异有统计学意义(P<0.05);观察组产时及产后2h出血量、侧切率、剖宫产率及缩宫素使用率均低于对照组,差异有统计学意义(P<0.05);两组新生儿窒息率相比,差异无统计学意义(P>0.05)。结论导乐分娩镇痛仪联合导乐陪伴分娩能有效减轻分娩疼痛、缩短产程时间、降低剖宫产率、提高满意度、减少产程干预、促进自然分娩,且对胎儿无不良影响,值得临床推广。
Objective To study the effect of Doppler analgesia instrument (guide instrument) on pregnant women’s delivery. Methods 400 cases of primipara, according to their voluntary principle is divided into observation group and control group, 200 cases in each group. Control group using the whole one-to-one Dauphole accompaniment of childbirth, the observation group in the control group based on the combination of leucorrhea analgesia childbirth. The analgesic effect, labor duration, mode of delivery, blood loss, labor-induced interventions, satisfaction and newborns were compared between the two groups. Results The analgesic effect of labor during laboring time in the observation group was higher than that in the control group (P <0.05). The bleeding time in the observation group during labor and 2 hours after delivery The rate of cesarean section and the rate of oxytocin administration were lower than those of the control group (P <0.05). There was no significant difference in asphyxia rate between the two groups (P> 0.05 ). Conclusions Drip analgesia combined with Doppler ultrasound can effectively reduce the pain during childbirth, shorten the duration of labor, reduce the rate of cesarean section, improve the degree of satisfaction, reduce the labor process, and promote natural childbirth without adverse effects on the fetus, which is worthy of clinical promotion .