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目的观察改良式呼吸减痛法配伍音乐在分娩镇痛中的疗效,为减轻孕妇分娩痛苦提供思路。方法随机选择2012年5-12月深圳市盐田区盐港医院门诊及住院收治的分娩初产妇344例,将其随机分为观察组171例和对照组各173例。对照组进行产科常规护理;观察组自孕36周起聆听双耳机耳塞式固定轻缓音乐,于临产后指导产妇练习改良式呼吸减痛法并运用到分娩中。对两组产妇在分娩过程中的疼痛程度和第一产程时间进行比较和分析,用VRS-5方法做出疼痛评估,统计第一产程时间,分析产妇主动参与分娩的依从性和助产服务满意度。结果观察组产妇与对照组比较,疼痛程度明显降低、第一产程明显缩短、主动参与分娩的依从性增高,两组比较差异均有统计学意义(P<0.05)。结论产妇分娩前进行改良式呼吸减痛法配伍音乐训练能明显减轻产妇疼痛程度,缓解紧张情绪,缩短产程时间,提高产妇分娩信心,增进护理服务的满意度。
Objective To observe the curative effect of modified respiratory pain-relief combined with music in labor analgesia and to provide ideas for alleviating the pain of childbirth in pregnant women. Methods 344 cases of primiparae were randomly selected from outpatient and inpatient hospital of Yantian District, Yantian District from May to December in 2012. They were randomly divided into observation group (171 cases) and control group (173 cases). The control group received routine obstetrics and gynecology. The observation group listened to the dual-ear earphone fixed mild music since 36 weeks of pregnancy, and instructed the mothers to practice the modified respiratory pain reduction method after delivery and applied it to childbirth. The two groups of maternal labor in the process of pain and the first stage of labor time to compare and analyze the VRS-5 method to make pain assessment, statistics of the first stage of labor time, analysis of maternal active participation in childbirth compliance and midwifery satisfaction degree. Results Compared with the control group, the degree of pain in the observation group was significantly reduced, the first stage of labor was significantly shortened, and the compliance of active participation in childbirth was increased. There was significant difference between the two groups (P <0.05). Conclusions The improved respiratory pain control combined with music training before childbirth can significantly reduce the degree of maternal pain, relieve the tension, shorten the duration of labor, improve the confidence of maternal childbirth and improve the satisfaction of nursing service.