目的 观察分娩镇痛结合自由体位对产妇分娩结局的影响。方法 将120例产妇随机分为对照组和观察组，两组均行 硬膜外麻醉，对照组采取传统体位分娩，观察组采取自由体位分娩。于宫缩间歇期采用视觉模拟量表(VAS)评价 产妇疼痛程度，采用视觉模拟焦虑量表(VAS-A)评价产妇焦虑程度，采用分娩控制量表(LAS)评价分娩控制感；观 察并比较两组分娩方式、总产程时间及生殖道损伤情况。结果 观察组较对照组VAS评分及VAS-A评分均明显降低 (P<0.05)，且LAS评分明显升高(P<0.05)；观察组较对照组顺产率明显提高(P<0.05)；观察组较对照组总产程时间 明显缩短(P<0.05)；观察组较对照组会阴侧切发生率、宫颈裂伤发生率均明显降低(P<0.05)。结论 分娩镇痛结合 自由体位有助于缓解产妇分娩疼痛及焦虑情绪，提高顺产率，缩短总产程时间，降低生殖道损伤发生率，明显改善 分娩结局，值得临床推广。

Objective To observe the effect of delivery analgesia combined with free position on delivery outcomes in parturient women. Methods 120 parturient women in our hospital were randomly divided into control group and observation group. Both groups were given epidural anesthesia, besides, the control group was given traditional delivery position, while the observation group was given free delivery position. The pain degrees of parturient women in the intermission of contractions were assessed by visual analogue scale (VAS), the anxiety degrees of parturient women were evaluated by visual analogue scale of anxiety (VAS-A), and the sense of control in childbirth were estimated by labour agentry scale (LAS), the delivery modes, total delivery time and genital tract injury in the two groups were observed and compared. Results Compared with the control group, the VAS and VAS-A scores in the observation group were significantly decreased (P<0.05), and the LAS score in the observation group was significantly increased (P<0.05), the vaginal delivery rate in the observation group was significantly higher than that in the control group (P<0.05), the total delivery time in the observation group was significantly shorter than that in the control group (P<0.05), the incidence rates of episiotomy and cervical laceration in the observation group were significantly lower than those in the control group (P<0.05). Conclusion Delivery analgesia combined with free position which is worthy of promotion, can relieve the pain and anxiety of parturient women, improve the spontaneous delivery rate, shorten the total labor time, reduce the incidence of genital tract injury and significantly improve the delivery outcomes.