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目的 :探讨综合性分娩镇痛法即精神预防加药物镇痛的效果及对产程、母儿的影响。方法 :对 738例进入不同产程阶段的产妇根据产程进展的程度及产妇对镇痛的要求不同 ,分别采用不同的药物和精神预防法分娩镇痛 ,即实验组 ,并将 6 0 0例进入产程而未实施药物镇痛者作为对照组 ,观察实验组镇痛效果及对产程、分娩方式、产后出血及对新生儿的影响。结果 :实验组镇痛总有效率为 10 0 % ,满意率为 70 %以上 ,明显优于对照组 (P <0 0 5 ) ,与对照组比较 ,实验组各产程时间明显缩短 (P <0 0 5 ) ,剖宫产率及产后出血量明显降低 (P <0 0 5 ) ,对新生儿阿氏评分无明显影响 (P >0 0 5 )。结论 :综合性分娩镇痛法安全、有效、简便、值得推广。
Objective: To investigate the effect of comprehensive labor analgesia, namely psychic prophylaxis and drug analgesia, on labor process and maternity. Methods: According to the degree of labor progress and maternal requirements for analgesia, 738 males entering different stages of labor were given different drugs and prophylactic labor analgesia for childbirth, that is, the experimental group, and 600 males entered the labor process While those who did not use drug analgesia as the control group to observe the analgesic effect of the experimental group and the effects on labor course, mode of delivery, postpartum hemorrhage and neonatal. Results: The total effective rate of the experimental group was 100% and the satisfaction rate was over 70%, which was significantly better than that of the control group (P <0.05). Compared with the control group, the time of each process was significantly shortened (P <0 0 5). The rate of cesarean section and the amount of postpartum hemorrhage were significantly decreased (P <0.05), but had no significant effect on the neonatal Aspergillus score (P> 0.05). Conclusion: The comprehensive labor analgesia method is safe, effective and simple, and it is worth promoting.