【摘要】 目的：分析无痛分娩结合导乐陪伴对产妇分娩疼痛、产程及母婴结局的影响。方法：选择2024年2月-2025年2月于本院选择自然分娩的产妇146例，根据孕妇对自然分娩干预方式的选择分为两组，对照组（n=73）接受无痛分娩干预，观察组（n=73）实施无痛分娩结合导乐陪伴进行干预。采用视觉疼痛模拟（VAS）评分评估产妇疼痛程度，采用分娩自我效能量表（CBSEI-32）评估自我效能感，比较两组产程时间、母婴结局。结果：观察组第一、第二、第三产程VAS评分（6.24±1.26分、7.83±1.05分、4.39±1.54分）均低于对照组（6.83±1.07分、8.26±0.53分、6.08±1.77分），第一、第二、第三以及总产程时间均低于对照组，观察组CBSEI-32量表各维度评分（94.72±12.04分、108.41±17.43分）均高于对照组（86.35±13.74分、101.79±16.14分），新生儿并发症发生率低于对照组（均P<0.05）；两组产妇产后并发症发生率无差异（P>0.05）。结论：无痛分娩结合导乐陪伴可降低产妇分娩疼痛感，缩短产程时间，提高产妇分娩自我效能，从而改善母婴结局。更多还原

【Abstract】 Objective:To analyze the effects of the painless delivery combined with the doula accompaniment for women on their labor pain,stages of labor and maternal-infant outcomes.Methods:A total of 146 pregnant women who wanted natural delivery in the hospital were selected in this study from February 2024 to February 2025.According to the intervention method for the natural delivery by the women,these women were divided into two groups.73 women in the control group had chosen the painless delivery,while 73 women in the observation group had chosen the painless delivery combined with the doula accompaniment.The visual analogue scale(VAS)score was used to evaluate the pain degree of the women in the two groups,and the childbirth self efficacy scale short form(CBSEI-32)was used to evaluate the self-efficacy of the women in the two groups.The labor duration and the maternal-infant outcomes of the women were compared between the two groups.Results:The VAS scores of the first,the second and the third stages of labor(6.24±1.26 points,7.83±1.05 points and 4.39±1.54 points)of the women in the observation group were significantly lower than those(6.83±1.07 points,8.26±0.53 points and 6.08±1.77 points)of the women in the control group.The durations of the first,the second,the third and the total labor stages of the women in the observation group were significantly lower than those of the women in the control group.The dimension scores of CBSEI-32(94.72±12.04 points and 108.41±17.43 points)of the women in the observation group were significantly higher than those(86.35±13.74 points and 101.79±16.14 points)of the women in the control group.The incidence of neonatal complications of the women in the observation group was significantly lower than that of the women in the control group(all P<0.05).There was no significant difference in the incidence of postpartum complications of the women between the two groups(P>0.05).Conclusion:The painless delivery combined with the doula accompaniment for the pregnant women can reduce their labor pain,shorten their duration of labor and improve their self-efficacy,thus improving the maternal-infant outcomes of the women.更多还原