摘要
目的探究经皮电刺激疗法联合导乐分娩球对初产妇分娩疼痛及产程进展的影响.方法选择2021年8月—2022年6月我院接收的初产妇98例,按随机数字表法分为两组,每组49例.对照组采用常规分娩镇痛,观察组采用经皮电刺激疗法联合导乐分娩球,均观察至初产妇分娩完成.比较两组初产妇的分娩疼痛、产程进展、分娩方式、母婴并发症发生情况及产妇满意度.结果观察组的疼痛程度低于对照组,差异有统计学意义(P<0.05).观察组的第一产程、第二产程时间分别为(527.49±85.27)min、(44.12±7.71)min,均短于对照组的(658.67±63.79)min、(56.88±18.65)min,组间差异有统计学意义(P<0.05);观察组的第三产程时间为(6.59±1.42)min,与对照组的(7.16±1.58)min比较,差异无统计学意义(P>0.05).观察组的阴道助产率、中转剖宫产率分别为16.32%、8.16%,均低于对照组的28.57%、18.36%,但组间差异无统计学意义(P>0.05);观察组的顺产率为75.51%,高于对照组的53.06%,差异有统计学意义(P<0.05).观察组的母婴并发症总发生率为8.16%,低于对照组的24.49%,差异有统计学意义(P<0.05).观察组的产妇总满意度为95.91%,高于对照组的77.55%,差异有统计学意义(P<0.05).结论经皮电刺激疗法联合导乐分娩球能减轻初产妇的疼痛程度,缩短产程时间,降低母婴并发症发生率,提高顺产率及产妇满意度,值得临床推广使用.
Objective To investigate the effect of transcutaneous electrical stimulation combined with doula delivery ball on labor pain and labor progress of primipara.Methods A total of 98 primiparas admitted to the hospital from August 2021 to June 2022 were selected and were divided into two groups according to random number table method,with 49 cases in each group.The control group received conventional labor analgesia,and the observation group received transcutaneous electrical stimulation combined with doula delivery ball.Both groups were observed until the completion of puerperal delivery.The delivery pain,labor progress,delivery mode,maternal and infant complications and maternal satisfaction were compared between the two groups.Results The pain degree of observation group was lower than control group,the difference was statistically significant(P<0.05).The first stage of labor and the second stage of labor in the observation group were(527.49±85.27)min and(44.12±7.71)min,respectively,which were shorter than(658.67±63.79)min and(56.88±18.65)min in the control group,and the differences between the groups were statistically significant(P<0.05);the third stage of labor in the observation group was(6.59±1.42)min,compared with(7.16±1.58)min in the control group,there was no significant difference between the observation group(P>0.05).The rates of vaginal midwifery and cesarean section transfer in the observation group were 16.32%and 8.16%,respectively,lower than 28.57%and 18.36%in the control group,but there were no statistical significances between the groups(P>0.05);the vaginal delivery rate in the observation group was 75.51%,higher than 53.06%in the control group,and the difference was statistically significant(P<0.05).The total incidence of maternal and infant complications in the observation group was 8.16%,lower than 24.49%in the control group,and the difference was statistically significant(P<0.05).The maternal total satisfaction in the observation group was 95.91%,higher than 77.55%in the control group,and the difference was statistically significant(P<0.05).Conclusion The transcutaneous electrical stimulation therapy combined with doula delivery ball can reduce the pain of primipara,shorten the labor time,reduce the incidence of maternal and infant complications,improve the rate of vaginal delivery and maternal satisfaction,worthy of clinical application.
作者
宗海燕
张玮
ZONG Haiyan;ZHANG Wei(Department of Obstetrics and Gynecology,Juancheng County People's Hospital,Heze Shandong,274600,China)
出处
《反射疗法与康复医学》
2022年第23期39-42,共4页
Reflexology And Rehabilitation Medicine
关键词
初产妇
经皮电刺激
导乐分娩球
分娩疼痛
产程进展
Primipara
Transcutaneous electrical stimulation
Doula delivery ball
Labor pain
Progress of labor
作者简介
宗海燕(1979-),女,山东鄄城人,本科,副主任医师,研究方向:妇产科临床。
