Comparison and analysis of the application effects of intraspinal anesthesia and labor pain relief device in clinical labor analgesia
椎管内麻醉与导乐分娩镇痛仪在临床分娩镇痛中的应用效果对比分析

摘要

目的 探讨分析椎管内麻醉与导乐分娩镇痛仪在临床分娩镇痛中的应用效果。方法 选择2023年6月至2024年6月本院接诊的60例产妇为研究对象，随机分成两组，各30例。对照组应用椎管内麻醉，研究组应用导乐分娩镇痛仪，对比不同组别的应用效果。结果 于宫口开6cm及9cm时观察，两组VAS评分无显著差异（P＞0.05）；研究组的第一产程活跃期及第二产程时间短于对照组（P＜0.05），第三产程时间无显著差异（P＞0.05）；于第一产程及产后5min时检测疼痛应激因子指标（NPY、NCF）水平，两组无显著差异（P＞0.05）。结论 产妇分娩过程中，椎管内麻醉与导乐分娩镇痛仪的镇痛效果相当，导乐分娩镇痛仪可有效缩短第一产程活跃期及第二产程时间，实际应用值得推广。

Abstract

Objective To explore and analyze the application effects of intraspinal anesthesia and Doula labor analgesia device in clinical labor analgesia.
Methods Sixty parturients admitted to our hospital from June 2023 to June 2024 were selected as the research subjects and randomly divided into two groups, each with 30 cases. The control group received intraspinal anesthesia, while the study group received the Doula labor analgesia device. The application effects of different groups were compared.
Results At the time when the cervix was dilated to 6 cm and 9 cm, there was no significant difference in VAS scores between the two groups (P > 0.05); the active phase of the first stage of labor and the second stage of labor in the study group were shorter than those in the control group (P < 0.05), and there was no significant difference in the third stage of labor time (P > 0.05); when pain stress factor indicators (NPY, NCF) were measured at the first stage of labor and 5 minutes postpartum, there was no significant difference between the two groups (P > 0.05).
Conclusion   During the labor process, the analgesic effects of intraspinal anesthesia and the Doula labor analgesia device are comparable. The Doula labor analgesia device can effectively shorten the active phase of the first stage of labor and the second stage of labor time, and its practical application is worthy of promotion.