| 林倩倩,梅 吉,徐玉娟,薛 勤,蒋美琴.SLK三联疗法联合硬膜外分娩镇痛对初产妇盆底功能及围产结局影响的相关研究[J].,2023,(8):1561-1565 |
| SLK三联疗法联合硬膜外分娩镇痛对初产妇盆底功能及围产结局影响的相关研究 |
| Study on the Influence of SLK Triple Therapy Combined with Epidural Labor Analgesia on the Pelvic Floor Function and Perinatal Outcome of Primipara |
| 投稿时间：2022-09-27 修订日期：2022-10-23 |
| DOI：10.13241/j.cnki.pmb.2023.08.032 |
| 中文关键词: SLK三联疗法 硬膜外分娩镇痛 盆底功能 围产结局 |
| 英文关键词: SLK triple therapy Epidural labor analgesia Pelvic floor function Perinatal outcome |
| 基金项目:2021年度江阴市卫生健康委员会科研项目（S202109） |
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| 中文摘要: |
| 摘要 目的：探究SLK三联疗法联合硬膜外分娩镇痛对初产妇盆底功能及围产结局影响。方法：选取2022年1月-2022年12月在江阴市人民医院及其集团内医院产检并分娩单胎孕妇200人，依据随机数字表法随机分为对照组、SLK三联疗法组、硬膜外分娩镇痛、联合组，每组50例。对照组采用常规训练，SLK三联疗法组采用Sopfrology分娩训练、Lamaze呼吸训练和Kegel训练联合训练，硬膜外分娩镇痛组采用病人自控硬膜外镇痛，联合组在SLK三联疗法的基础上进行硬膜外分娩镇痛。采用超声诊断仪检测盆底功能指标（2）采用神经肌肉刺激生物反馈治疗仪检测盆底肌电生理指标，记录并比较各组产前发热率、助产率、产后出血率、剖宫产率、产程和Apgar 评分。结果：硬膜外镇痛组与对照组相比，盆底超声检查△y、α、β、γ各参数差异无统计学意义（P>0.05）；SLK组和联合组盆底超声检查△y、α、β、γ各参数均显著低于对照组，差异具有统计学意义（P<0.05）；但SLK组和联合组上述各指标差异无统计学意义（P>0.05）。SLK组和联合组I类和II类肌纤维肌力、I类和Ⅱ类肌纤维疲劳度均显著优于对照组，差异具有统计学意义（P<0.05）；但SLK组和联合组上述各指标差异无统计学意义（P>0.05）。SLK组、硬膜外镇痛组和联合组产后出血率和剖宫产率显著低于对照组，差异具有统计学意义（P<0.05），硬膜外镇痛组第一产程和第二产程显著高于对照组，差异具有统计学意义（P<0.05），SLK组第一产程和第二产程显著低于对照组，联合组第一产程和第二产程显著低于硬膜外镇痛组，SLK组和联合组Apgar 评分显著高于对照组。结论：SLK三联疗法联合硬膜外分娩镇痛能够有效改善初产妇盆底功能和围产结局，弥补单独硬膜外分娩镇痛的不足，值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of SLK triple therapy combined with epidural labor analgesia on pelvic floor function and perinatal outcome of primipara. Methods: 200 pregnant women who delivered singleton in Jiangyin People's Hospital and its group hospitals from January 2022 to December 2022 were selected and randomly divided into control group, SLK triple therapy group, epidural delivery analgesia group and combined group according to random number table, with 50 cases in each group. The control group received routine training, the SLK triple therapy group received Sopfrology delivery training, Lamaze breath training and Kegel training, the epidural delivery analgesia group received patient controlled epidural analgesia, and the combined group received epidural delivery analgesia on the basis of SLK triple therapy. The pelvic floor function indexes were detected by ultrasonic diagnostic instrument (2) The pelvic floor electrophysiological indexes were detected by neuromuscular stimulation biofeedback therapeutic instrument, and the prenatal fever rate, midwifery rate, postpartum hemorrhage rate, cesarean section rate, labor process and Apgar score were recorded and compared in each group. Results: Compared with the control group, the pelvic floor ultrasonic examination △ y α, β, γ There was no significant difference among the parameters(P>0.05); Pelvic floor ultrasonic examination △ y α, β, γ All the parameters were significantly lower than those in the control group (P<0.05); However, there was no significant difference between SLK group and combination group in the above indicators(P>0.05). The muscle strength of class I and class II muscle fibers and fatigue of class I and class II muscle fibers in SLK group and combination group were significantly better than those in the control group (P<0.05); However, there was no significant difference between SLK group and combination group in the above indicators (P>0.05). The postpartum hemorrhage rate and cesarean section rate in SLK group, epidural analgesia group and combination group were significantly lower than those in the control group (P<0. 05), the first and second stages of labor in epidural analgesia group were significantly higher than those in the control group (P<0.05), the first and second stages of labor in SLK group were significantly lower than those in the control group, and the first and second stages of labor in combination group were significantly lower than those in epidural analgesia group, Apgar score of SLK group and combined group was significantly higher than that of control group. Conclusion: SLK triple therapy combined with epidural labor analgesia can effectively improve the pelvic floor function and perinatal outcome of primipara, and make up for the shortage of epidural labor analgesia alone, which is worthy of clinical promotion. |
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