CAJ | 학술논문

目的观察硬膜外镇痛应用于分娩镇痛对产妇和新生儿的影响.方法选择同期自然分娩产妇118例，按产妇自愿选择的原则，分为观察组：要求实施分娩镇痛54例，对照组：选择自然分娩64例.观察项目：产妇疼痛程度，总产程时间，产后出血量，新生儿Apgar评分.结果两组比较产妇总产程时间观察组短于对照组(p<0.05)；疼痛程度观察组小于对照组(p<0.05)，两组产妇产后出血量及新生儿Apgar评分无差异(p>0.05).结论分娩镇痛能缩短总产程、基本消除产痛，对产力、产后出血量及新生儿Apgar评分不产生负面影响.
목적관찰경막외진통응용우분면진통대산부화신생인적영향.방법선택동기자연분면산부118례，안산부자원선택적원칙，분위관찰조：요구실시분면진통54례，대조조：선택자연분면64례.관찰항목：산부동통정도，총산정시간，산후출혈량，신생인Apgar평분.결과량조비교산부총산정시간관찰조단우대조조(p<0.05)；동통정도관찰조소우대조조(p<0.05)，량조산부산후출혈량급신생인Apgar평분무차이(p>0.05).결론분면진통능축단총산정、기본소제산통，대산력、산후출혈량급신생인Apgar평분불산생부면영향.
Objective To observe the effect of epidural analgesia on puerpera and newborn during spontaneous delivery. Method 118 puerpera through spontaneous delivery in our hospital were divided into two groups (according to their own choice), the observation group (54 puerpera which voluntary spontaneous delivery) and the control group (64 puerpera without spontaneous delivery). Then the pain degree of puerpera, total stage of labor, postpartum hemorrhage volume, Apgar score of the newborn were compared in the two groups. ResultsThe total stage of labor and the pain degree of puerpera were significantly decreased in the observation group (P<0.05). The postpartum hemorrhage volume and Apgar score of the newborn were not significantly different in the two groups (P>0.05). Conclusions Epidural analgesia can shorten the total stage of labor, ease the pain of puerpera and it dosen’t have negative effect on the postpartum hemorrhage volume and Apgar score of the newborn.