吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
19期
4205-4206,4207
,共3页
分娩镇痛%硬膜外阻滞%妊娠结局
分娩鎮痛%硬膜外阻滯%妊娠結跼
분면진통%경막외조체%임신결국
Labor analgesia%Epidural anesthesia%Pregnancy outcome
目的：探讨连续硬膜外分娩镇痛的镇痛效果及对妊娠结局的影响。方法：选取自愿接受并实行连续硬膜外分娩镇痛的224例初产妇为研究组，随机选取同期不采用分娩镇痛的初产妇250例为对照组，比较分析两组镇痛效果及妊娠结局。结果：镇痛组的视觉模拟标尺（ VAS）法评分明显低于对照组，产程中宫缩乏力的发生率高于对照组，的第一产程、第二产程、总产程时长高于对照组，会阴侧切率低于对照组，差异均有统计学意义（ P<0.005）；两组剖宫产、手术助产、产后出血、新生儿窒息的差异无统计学意义（ P>0.05）。结论：连续硬膜外分娩镇痛的镇痛效果良好，可减少分娩对母婴的伤害，对母婴安全，应广泛开展。
目的：探討連續硬膜外分娩鎮痛的鎮痛效果及對妊娠結跼的影響。方法：選取自願接受併實行連續硬膜外分娩鎮痛的224例初產婦為研究組，隨機選取同期不採用分娩鎮痛的初產婦250例為對照組，比較分析兩組鎮痛效果及妊娠結跼。結果：鎮痛組的視覺模擬標呎（ VAS）法評分明顯低于對照組，產程中宮縮乏力的髮生率高于對照組，的第一產程、第二產程、總產程時長高于對照組，會陰側切率低于對照組，差異均有統計學意義（ P<0.005）；兩組剖宮產、手術助產、產後齣血、新生兒窒息的差異無統計學意義（ P>0.05）。結論：連續硬膜外分娩鎮痛的鎮痛效果良好，可減少分娩對母嬰的傷害，對母嬰安全，應廣汎開展。
목적：탐토련속경막외분면진통적진통효과급대임신결국적영향。방법：선취자원접수병실행련속경막외분면진통적224례초산부위연구조，수궤선취동기불채용분면진통적초산부250례위대조조，비교분석량조진통효과급임신결국。결과：진통조적시각모의표척（ VAS）법평분명현저우대조조，산정중궁축핍력적발생솔고우대조조，적제일산정、제이산정、총산정시장고우대조조，회음측절솔저우대조조，차이균유통계학의의（ P<0.005）；량조부궁산、수술조산、산후출혈、신생인질식적차이무통계학의의（ P>0.05）。결론：련속경막외분면진통적진통효과량호，가감소분면대모영적상해，대모영안전，응엄범개전。
Objective To explore the effect of continuous epidural labor analgesia and its impact on pregnancy outcome. Method A to-tal of 224 primiparous women receiving continuous epidural labor analgesia voluntarily were selected as study group;250 primiparous women not receiving continuous epidural labor analgesia during the same period were randomly selected as control group;the analgesic effects and pregnancy outcomes in the two groups were compared. Results VAS score in study group was significantly lower than that in control group;the incidence rate of uterine inertia during stages of labor in study group was significantly higher than that in control group;the duration time of the first stage of labor,the duration time of the second stage of labor,the total duration time of stages of labor in study group were signifi-cantly higher than those in control group;the rate of lateral episiotomy in study group was significantly lower than that in control group,there were statistically significant differences in the above-mentioned indexes between the two groups( P﹤0. 005 );there was no statistically significant difference in the incidence rates of cesarean section,surgical midwifery,postpartum hemorrhage,and neonatal asphyxia between the two groups(P>0. 05). Conclusion The effect of continuous epidural labor analgesia is good,the method can reduce the harms of deliv-ery to pregnant women and their babies,the safety is high,so the method is worthy to be popularized extensively.
