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Abstract Objective] To explore the application value of labor analgesia with intraspinal anesthesia and DOU‐LA instrument in maternal delivery .[Methods]Totally 364 pregnant women with single birth and normal full term and without high‐risk factors such as cephalopelvic disproportion in our hospital were chosen .According to the will , all pregnant women were divided into 3 groups .Among them ,122 pregnant women with intraspinal anesthesia were selected as spinal group ,and 118 pregnant women with DOULA instrument were selected as DOULA instrument group ,and 124 pregnant women without labor analgesia were selected as control group .The analgesia efficacy ,deliv‐ery method ,labor duration ,Apgar score and postpartum hemorrhage volume of parturients were observed .[Results]The vaginal normal rate of DOULA instrument group was 54 .23% (64/118) ,which was higher than that of spinal group(42 .62% ,52/122) and control group(41 .12% ,51/124)( P < 0 .05) .The vaginal delivery rate of spinal group was 24 .59% (30/122) ,which was higher than that of DOULA instrument group and control group( P <0 .05) .The cesarean section rate of control group was 44 .35% (55/124) ,which was higher than that of spinal group and DOULA instrument group( P<0 .05) .The active stage duration of first labor stage and second labor stage dura‐tion of DOULA instrument group were (105 .35 ± 31 .55)min and (39 .11 ± 16 .34)min respectively ,which were shorter than those of spinal group[(163 .42 ± 33 .2)min and (50 .06 ± 19 .39)min] and control group[(331 .25 ± 35 .40)min and (87 .96 ± 31 .50)min]( P <0 .05) .The active stage duration of first labor stage and second labor stage duration of spinal group were shorter than those of control group( P <0 .05) .The mean VAS score of spinal group was (3 .01 ± 0 .87) ,which was lower than that of DOULA instrument group[(4 .24 ± 0 .91)] and control group[(6 .13 ± 1 .03)] ,and that of DOULA instrument group was lower than that of control group( P <0 .05) .[Conclusion]Labor analgesia with intraspinal anesthesia and DOULA instrument have satisfactory efficacy and can promote spontaneous delivery and reduce the rate of cesarean section without any adverse effect for mother and infant .
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2014, Vol. 31 
