| 高欣欣,孙 欣,郭 悦,林 琳,韩杰霞,黄明莉.低频神经和肌肉电刺激对产程、分娩方式、母婴结局的影响分析[J].,2021,(2):248-253 |
| 低频神经和肌肉电刺激对产程、分娩方式、母婴结局的影响分析 |
| Analysis of the Effects of Low-frequency Nerve and Muscle Electrical Stimulation on the Labor Process, Delivery Methods, and Maternal and Outcomes of Newborns |
| 投稿时间：2020-04-28 修订日期：2020-05-23 |
| DOI：10.13241/j.cnki.pmb.2021.02.011 |
| 中文关键词: 自然分娩 低频神经和肌肉电刺激 分娩结局 非药理学镇痛 白细胞计数 |
| 英文关键词: Vaginal delivery Low frequency nerve and muscle electrical stimulation Labor outcomes Non-pharmacological analgesia White blood cell count |
| 基金项目:国家自然科学基金青年基金项目（81401203） |
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| 中文摘要: |
| 摘要 目的：观察低频神经和肌肉刺激仪用于分娩镇痛对产程、分娩方式、产后出血、会阴完整度、母婴结局的影响。方法：随机选择2019年8月～2020年3月在我院分娩的足月妊娠产妇220名，根据第一产程是否应用低频神经和肌肉刺激仪分为观察组112例及对照组108例，两组均接受常规分娩护理，观察组为自愿接受低频神经和肌肉电刺激镇痛的产妇，比较两组患者产程时间、剖宫产、会阴侧切及裂伤、残留、新生儿结局、产后出血、产后血细胞计数。结果：对照组剖宫产率、部分胎膜残留发生率、分娩后白细胞计数均显著高于观察组(P＜0.05)，总产程和第一产程时间显著长高于观察组(P＜0.05)；两组侧切率、裂伤率、出血量、住院时长比较差异均无统计学意义(P＞0.05)。两组新生儿1 min、5 min Apgar评分比较差异均无统计学意义(P＞0.05)。两组分娩后血红蛋白、红细胞计数、血细胞比容和红细胞平均容量均较分娩前显著下降(P<0.05)，组间比较差异无统计学意义(P＞0.05)。结论：低频脉冲电刺激可有效缩短第一产程，降低残留率、剖宫产率及产后感染风险，加快子宫复旧；对第二产程、第三产程、产后出血量等无影响，且不影响围产儿结局，能够降低产后感染风险。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effects of low-frequency nerve and muscle stimulator used in labor analgesia on labor process, delivery mode, postpartum hemorrhage, perineal integrity, maternal and infant outcomes. Methods: Randomly selected 220 full-term pregnant women who were delivered in our hospital from August 2019 to March 2020, and were divided into an observation group of 112 cases and a control group of 108 cases according to whether they used low-frequency nerve and muscle stimulators in the first stage of labor. Both groups received routine delivery care. The observation group was a parturient woman who voluntarily received low-frequency nerve and muscle electrical analgesia. The duration of labor, cesarean section, perineal side cut and laceration, residual, neonatal outcome, postpartum hemorrhage, postpartum Blood cell count and other relevant indicators such as blood cell analysis. Results: The rate of cesarean section, the incidence of residual fetal membranes, and the white blood cell count after delivery were significantly higher in the control group than in the observation group (P<0.05), and the control group was significantly higher than the observation group. The difference between the total labor time and the first labor time was statistically significant (P<0.05), and the control group was significantly longer than the observation group (P<0.05); compared between the two groups, the side cut rate, laceration rate, bleeding volume, hospitalization There was no statistically significant difference in duration (P>0.05); There is no statistically significant difference in the 1min and 5min Apgar scores between the two groups at 1 min and 5 min (P>0.05); there is no statistically significant difference in the amount of bleeding and length of hospitalization between the two groups (P>0.05); Before and after the comparison of blood routine index groups, the difference of WBC before delivery was not statistically significant (P>0.05), the difference of WBC after delivery was statistically significant (P<0.05), and the control group was significantly higher than the observation group. After delivery, the hemoglobin, red blood cell count, hematocrit, and average red blood cell volume of the two components were significantly lower than before delivery (P<0.05). There was no statistically significant difference between the groups (P>0.05). Conclusion: Low-frequency pulsed electrical stimulation can be effective shorten the first stage of labor, reduce the residual rate, cesarean section rate and postpartum infection risk, accelerate uterine rejuvenation; have no effect on the second stage of labor, the third stage of labor, postpartum bleeding, and do not affect the outcome of perinatal infants, which can reduce postpartum infection Risk, accelerate uterine rejuvenation; no effect on the second stage of labor, the third stage of labor, postpartum hemorrhage. |
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