中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
32期
24-25,27
,共3页
无痛分娩%氧化亚氮%镇痛%产科
無痛分娩%氧化亞氮%鎮痛%產科
무통분면%양화아담%진통%산과
Painless labor%Nitrous oxide%Analgesia%Obstetrics
目的：观察和分析笑气吸入镇痛对产程及新生儿结局的影响。方法：选取360例正常初产妇作为研究对象，将其中实施无痛分娩的180例产妇列为观察组，未实施无痛分娩的180例产妇列为对照组，对两组产妇的镇痛效果、产程时间、分娩方式、产后出血量以及新生儿的窒息情况进行观察和比较。结果：观察组和对照组的镇痛有效率分别为100%和45.6%，观察组的镇痛总有效率显著高于对照组(P＜0.05)；两组产妇各项分娩方式和新生儿窒息情况的差异均无统计学意义(P＞0.05)；观察组产妇的第1产程时间显著低于对照组(P＜0.05)，而两组产妇在第2、3产程时间和产后出血量方面的差异均无统计学意义(P＞0.05)。结论：笑气吸入镇痛的临床效果显著，能够明显缓解产痛、缩短第1产程，而且对产妇的分娩方式、产后出血量和新生儿结局均无不良影响。
目的：觀察和分析笑氣吸入鎮痛對產程及新生兒結跼的影響。方法：選取360例正常初產婦作為研究對象，將其中實施無痛分娩的180例產婦列為觀察組，未實施無痛分娩的180例產婦列為對照組，對兩組產婦的鎮痛效果、產程時間、分娩方式、產後齣血量以及新生兒的窒息情況進行觀察和比較。結果：觀察組和對照組的鎮痛有效率分彆為100%和45.6%，觀察組的鎮痛總有效率顯著高于對照組(P＜0.05)；兩組產婦各項分娩方式和新生兒窒息情況的差異均無統計學意義(P＞0.05)；觀察組產婦的第1產程時間顯著低于對照組(P＜0.05)，而兩組產婦在第2、3產程時間和產後齣血量方麵的差異均無統計學意義(P＞0.05)。結論：笑氣吸入鎮痛的臨床效果顯著，能夠明顯緩解產痛、縮短第1產程，而且對產婦的分娩方式、產後齣血量和新生兒結跼均無不良影響。
목적：관찰화분석소기흡입진통대산정급신생인결국적영향。방법：선취360례정상초산부작위연구대상，장기중실시무통분면적180례산부렬위관찰조，미실시무통분면적180례산부렬위대조조，대량조산부적진통효과、산정시간、분면방식、산후출혈량이급신생인적질식정황진행관찰화비교。결과：관찰조화대조조적진통유효솔분별위100%화45.6%，관찰조적진통총유효솔현저고우대조조(P＜0.05)；량조산부각항분면방식화신생인질식정황적차이균무통계학의의(P＞0.05)；관찰조산부적제1산정시간현저저우대조조(P＜0.05)，이량조산부재제2、3산정시간화산후출혈량방면적차이균무통계학의의(P＞0.05)。결론：소기흡입진통적림상효과현저，능구명현완해산통、축단제1산정，이차대산부적분면방식、산후출혈량화신생인결국균무불량영향。
Objective:To observe and analyze the effect of nitrous oxide inhalation analgesia on labor stage and neonatal outcome. Methods:360 cases of normal primiparas were selected as the research objects.180 puerperas with painless childbirth were classified as the observation group.180 puerperas without painless childbirth were classified as the control group.The analgesic effect,labor stage time,delivery mode,postpartum hemorrhage and neonatal asphyxia of puerperas in two groups were observed and compared.Results:The analgesic effective rate of the observation group(100%) was significantly higher than that of the control group(45.6%),and the difference was statistically significant(P<0.05).There were no significant differences between the delivery mode and neonatal asphyxia of puerperas in two groups(P>0.05).The first labor time of puerperas in the observation group was significantly lower than that of the control group(P<0.05),but there were no significant differences between the second,three labor time and postpartum hemorrhage of puerperas in two groups(P>0.05).Conclusion:Nitrous oxide inhalation analgesia has significantly clinical effect.It can significantly relieve the labor pain,shorten the first labor stage,and had no adverse effects on delivery mode,postpartum hemorrhage and neonatal outcomes.
