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| 两种镇痛分娩方式对剖宫产率的影响 |
| Effect of two kinds of analgesia delivery on rate of cesarean section |
| 投稿时间：2014-12-21 修订日期：2015-03-28 |
| DOI：10.3969/j.issn.1000-0399.2015.05.014 |
| 中文关键词: 水中分娩 硬膜外镇痛分娩 导乐分娩 |
| 英文关键词: Water birth Epidural analgesia delivery Doula |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨硬膜外镇痛分娩与水中分娩在阴道分娩中的镇痛效果,对降低剖宫产率的影响。 方法 选择2014年1月至2014年9月我院171例住院分娩的孕妇,选择自愿要求水中分娩组57例,镇痛分娩组55例和导乐(自然)分娩组(对照组)59例,观察各组的产程进展、镇痛效果、产后出血、胎儿评分等,评估不同镇痛方式对分娩结局的影响。 结果 两种镇痛方式的效果相当,差异无统计学意义(P>0.05);镇痛分娩中行剖宫产的比例大于水中分娩,两种方式的镇痛分娩较导乐分娩的剖宫产率均低,差异有统计学意义(P<0.05)。 结论 两种镇痛分娩,可以明显提高阴道分娩的成功率,降低无医学指征剖宫产;其中水中分娩转镇痛分娩成功率更高。 |
| 英文摘要: |
| Objective To explore the analgesic effect of vaginal childbirth and the influence of epidural analgesia delivery and water birth on reducing the rate of cesarean section. Methods A total of 171 pregnant women delivered between January 2014 to September 2014 in our hospita were chosen and randomly assigned to 57 cases of water delivery observation group, 55 cases of analgesic delivery group and 59 cases of doula labor group, then the labor progress, analgesic effects, postpartum hemorrhage, neonatal score among the groups were observed to assess the effects of delivery outcomes with different analgesic methods. Results Analgesic effect of the two ways was similar, having no significant difference (P>0.05). The proportion of cesarean section with childbirth analgesia was greater than that of water delivery. The cesarean section delivery rate of analgesia labor in two ways are both lower than doula delivery,the difference was statistically significant(P<0.05). Conclusion Two kinds of delivery can obviously improve the success rate of vaginal delivery and reduce no medical evidence cesarean delivery;The kind of water delivery analgesia childbirth has higher the success rate. |
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