中国实用医药
中國實用醫藥
중국실용의약
China Practical Medical
2015年
34期
7-9
,共3页
镇痛%硬膜外%无痛分娩%分娩过程%产后出血
鎮痛%硬膜外%無痛分娩%分娩過程%產後齣血
진통%경막외%무통분면%분면과정%산후출혈
Analgesia%Epidural%Painless labor%Labor process%Postpartum hemorrhage
目的 探索可行走式无痛分娩镇痛在分娩中的应用效果及其影响.方法 180例孕产妇随机分为研究组和对照组,各90例.对照组实施常规方式分娩,研究组实施可行走式无痛分娩.将两组的分娩情况、各产程疼痛评分、产程以及新生儿情况进行对比.结果 研究组顺产比例为83.33%,显著高于对照组的55.56%,研究组剖宫产比例为13.33%,显著低于对照组的38.89%,差异均具有统计学意义(P<0.05);两组研究对象产钳助产比例差异无统计学意义(P>0.05).研究组第一产程显著短于对照组(P<0.05),研究组第二产程显著长于对照组(P<0.05),两组第三产程差异无统计学意义(P>0.05).研究组各产程视觉模拟评分法(VAS)评分均显著低于对照组(P<0.05).两组研究对象胎儿窘迫比例以及各时间点的Apgar评分差异均无统计学意义(P>0.05).结论 可行走式无痛分娩镇痛方式在分娩中可以产生良好的镇痛效果,能有效降低生产疼痛感,并发症发生率低,安全性高,具有极大的推广应用价值.
目的 探索可行走式無痛分娩鎮痛在分娩中的應用效果及其影響.方法 180例孕產婦隨機分為研究組和對照組,各90例.對照組實施常規方式分娩,研究組實施可行走式無痛分娩.將兩組的分娩情況、各產程疼痛評分、產程以及新生兒情況進行對比.結果 研究組順產比例為83.33%,顯著高于對照組的55.56%,研究組剖宮產比例為13.33%,顯著低于對照組的38.89%,差異均具有統計學意義(P<0.05);兩組研究對象產鉗助產比例差異無統計學意義(P>0.05).研究組第一產程顯著短于對照組(P<0.05),研究組第二產程顯著長于對照組(P<0.05),兩組第三產程差異無統計學意義(P>0.05).研究組各產程視覺模擬評分法(VAS)評分均顯著低于對照組(P<0.05).兩組研究對象胎兒窘迫比例以及各時間點的Apgar評分差異均無統計學意義(P>0.05).結論 可行走式無痛分娩鎮痛方式在分娩中可以產生良好的鎮痛效果,能有效降低生產疼痛感,併髮癥髮生率低,安全性高,具有極大的推廣應用價值.
목적 탐색가행주식무통분면진통재분면중적응용효과급기영향.방법 180례잉산부수궤분위연구조화대조조,각90례.대조조실시상규방식분면,연구조실시가행주식무통분면.장량조적분면정황、각산정동통평분、산정이급신생인정황진행대비.결과 연구조순산비례위83.33%,현저고우대조조적55.56%,연구조부궁산비례위13.33%,현저저우대조조적38.89%,차이균구유통계학의의(P<0.05);량조연구대상산겸조산비례차이무통계학의의(P>0.05).연구조제일산정현저단우대조조(P<0.05),연구조제이산정현저장우대조조(P<0.05),량조제삼산정차이무통계학의의(P>0.05).연구조각산정시각모의평분법(VAS)평분균현저저우대조조(P<0.05).량조연구대상태인군박비례이급각시간점적Apgar평분차이균무통계학의의(P>0.05).결론 가행주식무통분면진통방식재분면중가이산생량호적진통효과,능유효강저생산동통감,병발증발생솔저,안전성고,구유겁대적추엄응용개치.
Objective To explore application effect and influence of ambulatory painless labor analgesia in labor process.Methods A total of 180 pregnant women were randomly divided into research group and control group, with 90 cases in each group. The control group received conventional labor measure, and the research group received ambulatory painless labor. Comparisons were made on labor condition, pain score in every stage of labor, and neonatal status between the two groups.Results The research group had much higher eutocia rate as 83.33% than 55.56% of the control group, and its cesarean section rate was obviously lower as 13.33% than 38.89% of the control group. Their differences all had statistical significance (P<0.05). The difference of obstetric forceps delivery rate had no statistical significance between the two groups (P>0.05). The research group had remarkably shorter first labor stage (P<0.05) and longer second labor stage than the control group (P<0.05). The difference of the third labor stage between the two groups had no statistical significance (P>0.05). Visual analogue scale (VAS) scores in each stage were much lower in the research group than in the control group (P<0.05). There were no statistically significant differences of fetal distress rate and Apgar scores in each time point between the two groups (P>0.05).Conclusion Ambulatory painless labor analgesia can provide precise analgesic effect in labor process. This method can reduce labor pain, along with low incidence of adverse reactions and high safety. It contains great value of promotion and application.
