拉玛泽呼吸法联合导乐仪用于分娩镇痛临床研究.docVIP

拉玛泽呼吸法联合导乐仪用于分娩镇痛临床研究 　　【摘要】 目的 探讨拉玛泽呼吸法联合导乐仪用于分娩镇痛的临床效果。方法 120例初产妇， 随机分为对照组和观察组， 各60例。观察组实行拉玛泽呼吸法联合非药物无创伤导乐仪镇痛分娩， 对照组不采取任何干预措施， 自然进入产程。比较两组自然分娩产妇疼痛程度、中转剖腹率、总产程时间及镇痛对母儿的不良反应情况。结果 研究组分娩过程中视觉模拟评分法（VAS）评分为（3.92±0.21）分、总产程时间为（5.42±0.98）h， 均优于对照组的（8.13±0.77）分、（8.67±1.64）h， 差异均具有统计学意义 （P0.05）。研究组中转剖腹率（5.00%）显著低于对照组（21.67%）， 差异具有统计学意义 （P0.05） 。母儿均无不良反应。结论 拉玛泽呼吸法联合导乐仪对分娩有明显的镇痛效果， 加快产程进展， 促进自然分娩， 对母儿均无不良影响， 且操作简单方便， 产妇乐于接受， 适于在基层单位推广使用。 　　【关键词】 分娩镇痛；导乐仪；拉玛泽呼吸法；应用效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.06.095 　　【Abstract】 Objective To explore the clinical effect of lamaze breathing method combined with Daoleyi for labor analgesia. Methods A total of 120 primipara were randomly divided into control group and research group， with 60 cases in each group. The research group received lamaze breathing method combined with non-drug noninvasive Daoleyi for labor analgesia， the control group received no intervention measure， and entered birth process naturally. Comparison were made on degree of pain， transform rate， total duration of labor and analgesic adverse reactions of mother and son in two groups. Results The research group had visual analogue scale （VAS） score in childbirth as （3.92±0.21） points， total duration of labor as （5.42±0.98） h， which were all better than （8.13±0.77） points and （8.67±1.64） h in the control group， and the difference had statistical significance （P0.05）. The research group had obviously lower transform rate （5.00%） than the control group （21.67%）， and the difference had statistical significance （P0.05）. Mother and son had no adverse reactions. Conclusion Combination of lamaze breathing method and Daoleyi provides clearly analgesic effect for childbirth， which can promote natural delivery without adverse effect for mother and son， as well as simple operation and easy acception. It is suitable to be promoted and used in basic unit. 　　【Key words】 Labor analgesia； Daoleyi； Lamaze breathing method； Application effect 　　分娩是机体正常的生理过程， 产妇将因剧烈疼痛增加相关并发症及不良情