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目的:研究和探讨自由体位分娩法和分娩减痛法结合起来在初产顺产妇中的临床应用效果。方法:选取2013年1月至2013年12月已被收治的符合标准的初产顺产妇女360例为研究对象,将其随机分成A1组(自由体位分娩法组)、A2组(分娩减痛法组)和A1+A2组(两种方法结合组),每组120例。观察和比较三组产妇阴道分娩产程时间、疼痛等级评分、出血量、剖宫产率、新生儿Apgar评分情况和产后不良情况发生率。结果:①A1+A2组的分娩产程时间低于A1组及A2组,疼痛等级评分优于A1组和A2组(P均<0.05);②A1+A2组的分娩过程中的出血量和剖宫产率均低于A1组及A2组(P<0.05);③A1+A2组新生儿Apgar评分情况比A1组及A2组好(P<0.05);④A1+A2组产后不良情况的发生率也低(P<0.05)。然而以上观察指标A1组与A2组之间的差异均无统计学意义(P>0.05)。结论:在临床实践过程中对初产顺产产妇实施自由体位分娩结合分娩减痛法可以显著地改善产妇分娩过程中的不良情况,对新生儿的影响也是积极的。两种方法的综合应用更具有良好的临床效果。
Objective: To study and explore the clinical application of free position birth delivery and delivery pain reduction in primiparous women. Methods: A total of 360 eligible primipara of primiparous women who were admitted to our hospital from January 2013 to December 2013 were enrolled in this study. Patients were randomly divided into group A1 (free-standing delivery group), group A2 Group) and A1 + A2 group (combination of two methods), each group of 120 cases. Observe and compare vaginal delivery labor time, pain grade score, bleeding volume, cesarean section rate, neonatal Apgar score and incidence of postpartum adverse cases in the three groups. Results: ①A1 + A2 group labor delivery time is lower than the A1 group and A2 group, pain score was better than the A1 group and A2 group (P all <0.05); ②A1 + A2 group of labor during delivery and cesarean section (P <0.05); (3) Apgar scores of neonates in A1 + A2 group were better than those in A1 and A2 groups (P <0.05); ④A1 + A2 group also had a low incidence of postpartum adverse reactions P <0.05). However, there was no significant difference between the above observation indexes A1 and A2 (P> 0.05). Conclusion: The practice of free bodily birth combined with labor pain reduction in primipara of primiparous pregnant women during clinical practice can significantly improve the maternal childbirth in the adverse situation, the impact on the newborn is also positive. The combined application of the two methods has a good clinical effect.