神经刺激减痛法在自然分娩中的应用效果观察
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女,硕士,主管护师,护士长

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Effect of nerve stimulation used in vaginal delivery
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    目的 评估神经刺激法用于初产妇自然分娩的镇痛效果及对产科结局的影响。方法 将自然分娩初产妇按其意愿分组,自愿采用神经刺激法镇痛的120例作为观察组,未使用神经刺激法镇痛的108例作为对照组。比较两组镇痛FPS-R评分、剖宫产率、产程时间、阴道流血量。结果 观察组初产妇宫口开大到3~4 cm、宫口开全时,FPS-R评分分别为3.51±0.50和4.53±0.50,显著低于对照组同阶段的4.31±0.46和5.31±0.46(均P<0.01)。两组产程时间和阴道流血量比较,差异有统计学意义(P<0.05,P<0.01)。结论 神经刺激减痛法可有效减轻初产妇分娩疼痛,降低剖宫产率,缩短产程,减少阴道流血量。

    Abstract:

    Objective To evaluate the effect of nerve stimulation in vaginal delivery on pain control and obstetric outcomes. Methods A total of 120 parturients who planned to give birth naturally were selected as the observation group, who received nerve stimulation during childbirth, and 108 primipara as the control group who did not receive the therapy. FPS-R scores of analgesia, Cesarean section rate, duration of labor and postpartum hemorrhage volume, were compared between the two groups. Results The FPS-R scores of the observation group were (3.51±0.50) points for cervix dilation of 3 to 4 cm and (4.53±0.50) points for full dilation, versus (4.31±0.46) and (5.31±0.46) points in the control group at the same stage (P<0.01 for both). There were significant differences in the rate of Cesarean section, duration of labor and vaginal hemorrhage volume between the two groups (P<0.01 for both). Conclusion Nerve stimulation used in vaginal delivery can effectively relieve labor pain in first-time expectant mothers, reduce the rate of Cesarean section, shorten the labor process and reduce the amount of bleeding.

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卢艳丽,蔺晴,周辉,许春娟.神经刺激减痛法在自然分娩中的应用效果观察[J].护理学杂志,2020,35(12):5-7

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  • 收稿日期:2020-02-09
  • 最后修改日期:2020-04-14
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  • 在线发布日期: 2022-09-06