导乐镇痛仪联合分娩球对初产妇分娩结局及产后抑郁的影响

doi:10.3969/j.issn.10073205.2017.07.011

河北医科大学学报

导乐镇痛仪联合分娩球对初产妇分娩结局及产后抑郁的影响

河北医科大学第四医院妇产科，河北石家庄 050011

出版日期:2017-07-25 发布日期:2017-07-05
作者简介:崔月昕（1991-），女，河北保定人，河北医科大学第四医院医学硕士研究生，从事妇产科疾病诊治研究。
基金资助:
河北省医学适用技术跟踪项目（GL201346）

Effects of doule analgesia instrument combined with labor ball on the delivery outcomes and postnatal depression for primipara#br#

Department of Obstetrics, the Fourth Hospital of Hebei Medical University, Shijiazhaung 050011, China

Online:2017-07-25 Published:2017-07-05

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨导乐镇痛仪、分娩球及两者联合应用对产妇分娩结局和产后抑郁的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗选取分娩的598例初产妇为研究对象，根据入院顺序和知情同意原则，随机分为对照组（206例）、导乐镇痛仪组（DA组，142例）、分娩球组（LB组，134例）、导乐镇痛仪分娩球联合应用组（DL组，116例），比较各组总产程、产后2 h出血量、剖宫产率、产时疼痛程度（VAS评分）、新生儿Apgar评分、产后7 d爱丁堡产后抑郁量表（EPDS）评分及不良事件发生情况。
〖HTH〗结果〖HTSS〗〖KG*2〗与对照组比较，DA组、LB组和DL组总产程时间明显缩短，产后出血量明显减少，剖宫产率明显降低，VAS评分和EPDS评分显著降低，新生儿Apgar评分升高，差异均有统计学意义（P＜005），导乐镇痛仪和分娩球联合应用时，上述作用更加明显；各组均无不良事件发生。
〖HTH〗结论〖HTSS〗〖KG*2〗导乐镇痛仪和分娩球联合应用可有效缩短产程时间，减少产后出血量，降低剖宫产率，减轻产时疼痛，改善新生儿状况，预防产后抑郁症发生，值得临床推广应用。

关键词: 分娩, 产后抑郁, 导乐镇痛仪, 分娩球

Abstract: ［Abstract］ Objective〖HTSS〗〓To observe the effects of doule analgesia instrument combined with labor ball on the delivery outcomes and postnatal depression for primipara.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 598 cases of primipara, according to the admission order and informed consent, were randomly divided into contro group（206 cases, with no any analgesic measures）, DA group(142 cases, pregnant women who used the doule analgesia instrument), LB group(134 cases, pregnant women who used the labor ball ) and DL group(116cases, pregnant women who used the doule analgesia instrument combined with labor ball). Then the total labor time, the amounts of postpartum bleeding in first 2 hours, cesarean section rate, degree of labor pain(visual analogue scale，VAS), neonatal Apgar score, the Edinburgh Postnatal Depression Rating Scale(EPDS) at 7 days postpartum and postpartum incidence of adverse events were observed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The total labor time, the amounts of postpartum bleeding in first 2 hours, rate of cesarean section, VAS score, neonatal Apgar score and the EPDS scale in DA group, LB group and DL group were significantly decreased than that of control group(P＜005). And the effects above in DL group were significantly effective than that of DA group and LB group, respectively(P＜005). There was no any postpartum adverse events occurred in every group.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Using of doule analgesia instrument combined with labor ball can effectively shorten the labor time, decrease the postpartum bleedings, reduce the rate of cesarean section, reduce the maternal childbirth pain and prevent the postpartum depression.

Key words: parturition, postnatal depression, doule analgesia instrument, labor ball

崔月昕，申〓薇，史〓丽，郭〓辉，王〓娟，尹〓洁*. 导乐镇痛仪联合分娩球对初产妇分娩结局及产后抑郁的影响[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2017.07.011.

CUI Yuexin, SHEN Wei, SHI Li, GUO Hui, WANG Juan, YIN Jie*. Effects of doule analgesia instrument combined with labor ball on the delivery outcomes and postnatal depression for primipara#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2017.07.011.

[1]	张萍, 卢琼芳. 经阴道分娩初产妇产后早期盆底电生理异常影响因素分析及预测模型研究[J]. 河北医科大学学报, 2021, 42(5): 559-567.
[2]	于锌1，时莉芳2，范静3. 分娩镇痛对产程及母婴转归影响的回顾性临床研究#br#[J]. 河北医科大学学报, 2020, 41(6): 731-734.
[3]	陈伟业, 李宗存, 席四平, 张立贤. 静脉输注右美托咪定对硬膜外分娩镇痛相关产时发热的影响[J]. 河北医科大学学报, 2020, 41(12): 1444-1449.
[4]	张〓晶1，薛〓宁1，李胜男2，王秀芳1，陈江红3，杨珊珊4. PCEA联合硬膜外间歇脉冲输注镇痛对分娩产妇T淋巴细胞亚群及运动功能的影响[J]. 河北医科大学学报, 2019, 40(7): 815-819，824.
[5]	孙东霞1，郝亚宁2，李毅飞1，祁美玉1，王〓艳3,肖学茹1. 剖宫产术后瘢痕子宫妊娠至足月选择阴道试产成功孕妇与再次剖宫产孕妇临床资料分析[J]. 河北医科大学学报, 2019, 40(6): 729-732.
[6]	彭艳艳1，陈舜珏1*，陈桂红1，梁玉1，王品2. 应用盆底三维超声观察妊娠与分娩对产后盆底功能的影响[J]. 河北医科大学学报, 2019, 40(10): 1233-1236.
[7]	张晓丽1，刘文慧1，张惠欣1，蒋〓睿2. 瘢痕子宫再次阴道分娩可行性与安全性分析[J]. 河北医科大学学报, 2018, 39(2): 221-224.
[8]	童重新1，刘〓静2，单〓玲1，尹红亚1. 残余羊水量对早期未足月胎膜早破围产结局影响[J]. 河北医科大学学报, 2017, 38(2): 159-163.
[9]	张荣. 罗哌卡因复合舒芬太尼在分娩镇痛中的应用[J]. 河北医科大学学报, 2016, 37(3): 337-339.
[10]	陈晓燕;杨翠萍;赵宇辉. 针灸镇痛配合放松技巧降低剖宫产率临床观察[J]. , 2015, 36(3): 348-348.
[11]	刘宏;鲁红梅;李庆明;路红梅;韩建民. 心理干预配合罗哌卡因、舒芬太尼用于全产程分娩镇痛研究[J]. , 2015, 36(10): 1215-1215.
[12]	张志敏;杨玉秀;张海娟;张雪玲. 瘢痕子宫再次妊娠分娩方式的探讨[J]. , 2014, 35(9): 1067-1067.
[13]	王亚平;王燕;田君青. 孕妇产前保健与住院自然分娩[J]. , 2014, 35(7): 854-854.
[14]	张英秀;李霞;郝惠英;崔改英;杨玉秀;于媚. 医疗服务对分娩方式的影响[J]. , 2014, 35(5): 530-530.
[15]	张晓丽;张惠欣;张宏玉;蒋睿;郝荣. 第二产程中手膝俯卧位分娩对妊娠结局的影响[J]. , 2014, 35(11): 1351-1351.

导乐镇痛仪联合分娩球对初产妇分娩结局及产后抑郁的影响

Effects of doule analgesia instrument combined with labor ball on the delivery outcomes and postnatal depression for primipara#br#

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价