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目的探讨比较无痛分娩和自然分娩的临床结局。方法选取164例孕妇作为观察对象,随机分为A组与B组,各82例。A组采用无痛分娩,B组采用经阴道自然分娩,比较两组的产程时间、宫缩时疼痛发生率、产后出血量、新生儿评分、产后满意度。结果 A组的第一产程时间明显短于B组(P<0.05),两组第二、三产程时间比较差异无统计学意义(P>0.05)。A组宫缩时疼痛发生率为86.6%(71/82),B组宫缩时疼痛发生率为100.0%(82/82),组间比较差异无统计学意义(P>0.05);但A组的疼痛程度明显轻于B组。两组产后出血量和新生儿评分比较差异无统计学意义(P>0.05)。观察组产后满意度为93.9%,对照组产后满意度为70.7%,组间比较差异有统计学意义(P<0.05)。结论相较于自然分娩,无痛分娩有助于缩短产程时间,缓解宫缩疼痛感。
Objective To compare the clinical outcome of painless childbirth and natural childbirth. Methods 164 pregnant women were selected as observation objects and randomly divided into A group and B group, with 82 cases in each group. A group of painless delivery, B group by vaginal natural delivery, labor time of the two groups were compared, the incidence of pain when contractions, postpartum hemorrhage, neonatal score, postpartum satisfaction. Results The time of first stage of labor in group A was significantly shorter than that in group B (P <0.05). There was no significant difference in the second and third stage of labor between the two groups (P> 0.05). The incidence of uterine contractions in group A was 86.6% (71/82), and the incidence of uterine contractions in group B was 100.0% (82/82). There was no significant difference between groups (P> 0.05) Group pain was significantly lighter than the B group. There was no significant difference in postpartum hemorrhage volume and neonatal score between the two groups (P> 0.05). Post-partum satisfaction in the observation group was 93.9%, satisfaction rate in the control group was 70.7%, the difference between the two groups was statistically significant (P <0.05). Conclusion Compared with natural childbirth, painless childbirth helps to shorten the labor time and ease the pain of contractions.