CAJ | 학술논문

目的研究腰-硬联麻阻滞用于分娩潜伏期镇痛对产程的影响。方法选取在我院住院自愿接受分娩镇痛意愿的56例产妇为A组院潜伏期(宫口开大1~3cm)镇痛,56例为B组院活跃期(宫口开大﹥3cm)镇痛,另56例为C组未采取使用任何分娩镇痛药物作为对照组。 A、B两组均在宫口开全后停药。观察产程时间、分娩方式、新生儿Apgar评分、产后出血量等指标。结果产程时间中第一产程A、B两组明显短于C组有统计学意义(﹤0.01)。新生儿Apgar评分、产后出血量的比较无统计学意义(﹥0.05),分娩方式A组和B组例数少于C组有统计学意义(﹤0.01)。结论腰-硬联麻阻滞镇痛用于第一产程潜伏期是安全有效的,对母婴结局无不良影响。
목적연구요-경련마조체용우분면잠복기진통대산정적영향。방법선취재아원주원자원접수분면진통의원적56례산부위A조원잠복기(궁구개대1~3cm)진통,56례위B조원활약기(궁구개대﹥3cm)진통,령56례위C조미채취사용임하분면진통약물작위대조조。 A、B량조균재궁구개전후정약。관찰산정시간、분면방식、신생인Apgar평분、산후출혈량등지표。결과산정시간중제일산정A、B량조명현단우C조유통계학의의(﹤0.01)。신생인Apgar평분、산후출혈량적비교무통계학의의(﹥0.05),분면방식A조화B조례수소우C조유통계학의의(﹤0.01)。결론요-경련마조체진통용우제일산정잠복기시안전유효적,대모영결국무불량영향。
Objective To study the combined spinal epidural anesthesia for labor analgesia effect of incubation period on birth process. Methods Selected in our hospital 56 cases of maternal voluntary wil ingness to accept delivery analgesia as group A: latency (Palace mouth open 1~3cm) analgesia, 56 cases as B group: active period (Palace mouth open > 3cm) analgesia, the other 56 cases as C group did not take any labor analgesia drugs as a control group. A, B two groups at ful dilatation after discontinuation. To observe the duration of labor, mode of delivery, neonatal Apgar score, amount of postpartum bleeding index. Results For the first time in the labor process A, B two group was significantly shorter in the C group was statistical y significant (P < 0.01). Neonatal Apgar score, amount of postpartum bleeding showed no statistical significance( >0.05), the mode of delivery of A group and B group were less than that in C group was statistical y significant ( < 0.01). Conclusion Combined spinal epidural anesthesia analgesia for first stage latency is safe and ef ective, no adverse ef ects on maternal and neonatal outcomes.