【摘要】 目的:观察全程陪伴分娩联合硬膜外阻滞分娩镇痛的镇痛效果,探讨其护理意义。方法:将108名要求分娩镇痛的初产妇作为观察组,全程专责陪伴分娩联合硬膜外阻滞分娩镇痛,同期内100名无分娩镇痛要求的初产妇配以传统模式分娩作为对照组,不使用任何镇痛药物。比较两组产妇的镇痛效果及分娩结局母儿情况。结果:全程专责陪伴分娩联合镇痛产妇镇痛效果达90.74%;观察组催产素使用率较对照组高(P<0.05);产程无明显差异性(P>0.05);产后出血及新生儿窒息无明显差异性(P>0.05)。结论:硬膜外分娩镇痛效果明显,全程专责陪伴积极的护理措施有助降低分娩痛苦,提高分娩的质量。更多还原

【Abstract】 Objective: To assess the pain relief efficacy and nursing outcomes by accompanied delivery throughout the entire labor process with epidural block analgesia. Methods: One hundred and eight primiparae expected analgesic labor were included as observational group managed by combined epidural block anesthesia and whole labor process support by a midwife,and another 100 primiparae without any analgesia at the corresponding period were included as control subjects. Two groups were compared regarding the analgesic effects,maternal and birth outcomes. Results: The analgesic effect achieved in90. 74% of the women managed by combined epidural block anesthesia and whole labor process support of a midwife. Although the observational group required more dosage of oxytocin than the controls( P < 0. 05),yet the two groups remained no significant difference concerning the labor course,postpartum hemorrhage and newborn asphyxia( P > 0. 05). Conclusion: Combined epidural block analgesia with active nursing support throughout the entire labor process may produce significant pain relief effects and improve the quality of delivery.更多还原