中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
35期
69-71
,共3页
分娩镇痛%剖宫产%产妇%新生儿%Apgar评分
分娩鎮痛%剖宮產%產婦%新生兒%Apgar評分
분면진통%부궁산%산부%신생인%Apgar평분
Labor analgesia%Cesarean section%Maternal%Newborn%Apgar scores
目的：探讨分娩镇痛对产妇及新生儿的影响。方法回顾性分析2012年6月～2014年6月在我院分娩的单胎、初产、头位、足月孕妇的临床资料，自然分娩总例数3154例，其中使用分娩镇痛197例，随机选取其中150例无痛分娩的孕妇作为实验组，另外选择同期分娩同等条件未使用无痛分娩的孕妇150例作为对照组。采用t检验、χ2检验等统计学方法比较实验组与对照组产妇在分娩时疼痛程度、分娩时间、新生儿1 min、5 min Apgar评分、产后2 h出血量及剖宫产率。结果实验组镇痛效果明显优于对照组，差异具有统计学意义（P=0.000）；实验组与对照组第二产程时间比较无明显统计学差异（P=0.191），在第一产程时间、第三产程时间及总产程时间上相比差异具有统计学意义（P=0.000、0.000、0.000）；两组新生儿1 min、5 min Apgar 评分及产后2 h 出血量比较无统计学差异（P=0.785、0.770、0.541）；实验组剖宫产率明显低于对照组，差异具有统计学意义（P=0.000）。结论通过分娩镇痛能明显地减轻产妇在分娩时所产生的疼痛感，可在很大程度上降低剖宫产率，对母婴健康无不良影响，分娩镇痛值得在临床上进一步推广使用。
目的：探討分娩鎮痛對產婦及新生兒的影響。方法迴顧性分析2012年6月～2014年6月在我院分娩的單胎、初產、頭位、足月孕婦的臨床資料，自然分娩總例數3154例，其中使用分娩鎮痛197例，隨機選取其中150例無痛分娩的孕婦作為實驗組，另外選擇同期分娩同等條件未使用無痛分娩的孕婦150例作為對照組。採用t檢驗、χ2檢驗等統計學方法比較實驗組與對照組產婦在分娩時疼痛程度、分娩時間、新生兒1 min、5 min Apgar評分、產後2 h齣血量及剖宮產率。結果實驗組鎮痛效果明顯優于對照組，差異具有統計學意義（P=0.000）；實驗組與對照組第二產程時間比較無明顯統計學差異（P=0.191），在第一產程時間、第三產程時間及總產程時間上相比差異具有統計學意義（P=0.000、0.000、0.000）；兩組新生兒1 min、5 min Apgar 評分及產後2 h 齣血量比較無統計學差異（P=0.785、0.770、0.541）；實驗組剖宮產率明顯低于對照組，差異具有統計學意義（P=0.000）。結論通過分娩鎮痛能明顯地減輕產婦在分娩時所產生的疼痛感，可在很大程度上降低剖宮產率，對母嬰健康無不良影響，分娩鎮痛值得在臨床上進一步推廣使用。
목적：탐토분면진통대산부급신생인적영향。방법회고성분석2012년6월～2014년6월재아원분면적단태、초산、두위、족월잉부적림상자료，자연분면총례수3154례，기중사용분면진통197례，수궤선취기중150례무통분면적잉부작위실험조，령외선택동기분면동등조건미사용무통분면적잉부150례작위대조조。채용t검험、χ2검험등통계학방법비교실험조여대조조산부재분면시동통정도、분면시간、신생인1 min、5 min Apgar평분、산후2 h출혈량급부궁산솔。결과실험조진통효과명현우우대조조，차이구유통계학의의（P=0.000）；실험조여대조조제이산정시간비교무명현통계학차이（P=0.191），재제일산정시간、제삼산정시간급총산정시간상상비차이구유통계학의의（P=0.000、0.000、0.000）；량조신생인1 min、5 min Apgar 평분급산후2 h 출혈량비교무통계학차이（P=0.785、0.770、0.541）；실험조부궁산솔명현저우대조조，차이구유통계학의의（P=0.000）。결론통과분면진통능명현지감경산부재분면시소산생적동통감，가재흔대정도상강저부궁산솔，대모영건강무불량영향，분면진통치득재림상상진일보추엄사용。
Objective To study the effects of labor analgesia on maternal and newborn. Methods A total of 3154 clinical cases of monotocous, primiparous, head delivery and full term pregnant women delivered in our hospital from June 2012 to June 2014 were reviewed and analyzed , where there were 197 cases to be used the labor analgesia. 150 cases with labor analgesia among them were selected randomly as the experiment group, and other 150 cases without labor analge si a in the same time and conditions were selected as control group. The differences on degree of labor pain, time of labor, 1-minute and 5-minute’s Apgar scores of newborn, amount of bleeding of 2 hours after delivery and rate of cesarean section between experiment group and control group were compared by t-test or chi-square test methods. Results Analgesic effect in test group was statistically better than control group (P=0.000);There were not sta-tistical differences between test group and control group in the second labor time (P=0.191),but there were statistically significant differences in the first labor time,the third labor time and total labor time(P=0.000, 0.000, 0.000). There were not statistical differences between two groups newborns in 1 minute and 5 minute ’s Apgar scores of newborn , amount of bleeding of 2 hours after delivery (P=0.785,0.770,0.541). The rate of cesarean section was obviously lower in test group than in control group and it was statistical significance(P=0.000). Conclusion Pain in labor can be obviously reduced by using labor analgesia , and the rate of cesarean section also can drop down dramatically , fur-thermore, it has no bad effect on maternal and newborn health. Therefore, labor analgesia is worth of being generalized.
