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目的:导乐配合镇痛治疗仪在新产程标准中对分娩及盆底功能的影响。方法:将单胎足月产妇200例随机分组为镇痛组100例、对照组100例。在导乐宫口开3cm潜伏期时,镇痛组使用电疗仪。结果:观察组与对照组在减轻疼痛程度、缩短产程、降低剖宫产率方面均有差异,差异有统计学意义(P<0.05)。在产后出血、新生儿窒息发生率、缩宫素使用率方面差异无统计学意义(P>0.05)。观察组与对照组在盆底Ⅰ类肌纤维疲劳度、I类肌损伤发生率、Ⅰ类肌纤维阴道压力方面有明显差异,差异有统计学意义(p<0.05);在产后Ⅱ类肌纤维疲劳度、Ⅱ类肌损伤发生率、Ⅱ类肌纤维阴道压力方面对比,差异无统计学意义(P>0.05)。结论:导乐联合多功能电疗仪PO—3632型镇痛分娩在新产程中对缩短产程、镇痛、降低剖宫产率及减轻分娩对盆底功能损伤的影响方面效果明显。
Objective: Dominant music with analgesic treatment instrument in the new birth process standard on childbirth and pelvic floor function. Methods: Two hundred fetus with single fetus were randomly divided into analgesic group (n = 100) and control group (n = 100). In the lead port open mouth 3cm incubation period, the use of electrotherapy device analgesia group. Results: The observation group and the control group were significantly different in relieving pain, shortening labor and reducing cesarean section rate (P <0.05). There was no significant difference in postpartum hemorrhage, neonatal asphyxia and oxytocin utilization (P> 0.05). There were significant differences between the observation group and the control group in the degree of muscle fiber fatigue, the incidence of type I muscle injury and the type I muscle fiber vaginal pressure in the pelvic floor, with significant difference (p <0.05) There was no significant difference in the incidence of type II muscle injury and type II myofiber vaginal pressure (P> 0.05). CONCLUSION: PO-3632 analgesia delivery combined with multi-function electrotherapy device in the new birth process is effective in shortening the labor process, relieving pain, reducing the rate of cesarean section and alleviating the pelvic floor functional injury.