CAJ | 학술논문

目的分析分娩镇痛对分娩的相关因素的影响。方法将300例分娩的产妇分为三组,A组100例应用全程微量泵进行分娩镇痛组；B组100例间断用药进行分娩镇痛组；C组100例不应用分娩镇痛组,作为对照组。全程观察分娩镇痛对相关第一产程、第二产程、产痛、阴道助产、剖宫产率、产后出血、羊水污染、新生儿评分及产妇满意情况,对应用分娩镇痛的方法做出分析。结果A B两组在产痛减轻、第二产程、羊水污染及器械助产、产妇满意情况等项与C组相比有显著性差异,A组、B组C组在器械助产项有显著性差异,A B两组在剖宫产率、产后出血、新生儿评分项无显著性差异。结论分娩镇痛采用间断用药的效果优于持续用药,间断用药分娩镇痛明显减轻了持续用药有第二产程延长趋势,器械助产增多情况。
목적분석분면진통대분면적상관인소적영향。방법장300례분면적산부분위삼조,A조100례응용전정미량빙진행분면진통조；B조100례간단용약진행분면진통조；C조100례불응용분면진통조,작위대조조。전정관찰분면진통대상관제일산정、제이산정、산통、음도조산、부궁산솔、산후출혈、양수오염、신생인평분급산부만의정황,대응용분면진통적방법주출분석。결과A B량조재산통감경、제이산정、양수오염급기계조산、산부만의정황등항여C조상비유현저성차이,A조、B조C조재기계조산항유현저성차이,A B량조재부궁산솔、산후출혈、신생인평분항무현저성차이。결론분면진통채용간단용약적효과우우지속용약,간단용약분면진통명현감경료지속용약유제이산정연장추세,기계조산증다정황。
Objective: to analysis of labor analgesia in delivery of related factors. Methods: 300 cases of maternal birth were divided into three groups, 100 cases in group A application full trace pump delivery analgesia group; group B in 100 patients with intermittent treatment for labor analgesia group; 100 cases in C group without application of labor analgesia group, as compared to the control group. To observe the whole labor analgesia on first stage, the second stage of labor, labor pain, vaginal birth, cesarean delivery, postpartum hemorrhage, amniotic fluid contamination, score of newborn and maternal satisfaction, the application of the method to make analysis of labor analgesia. Results: A B two group in labor pain relief, the second stage of labor, amniotic fluid contamination and instrumental delivery, maternal satisfaction, and C had significant difference compared with B group, A group, C group in instrumental delivery have significant difference, A B two group on rates of cesarean delivery, postpartum hemorrhage, neonatal no significant difference in score, conclusion: labor analgesia using intermittent treatment is more effective than continuing medication, intermittent treatment of labor analgesia was reduced apparently continued drug use have a prolonged second stage trend, instrumental delivery number.