CAJ | 학술논문

目的：探讨并研究持续硬膜外阻滞分娩镇痛的子宫收缩以及产程特点。方法：2012年4-7月收治自然分娩产妇560例，作为研究对象，随机分为观察组和对照组，其中观察组291例，对照组269例。在观察组中，对产妇实行硬膜外阻滞分娩镇痛的原则，对照组则不在分娩过程采取分娩镇痛的方法。观察产妇分娩的3个产程期间子宫收缩情况和产程特点。结果：观察组产妇在采用分娩镇痛前后的3个产程时间段内子宫收缩的各项指标差异存在统计学意义(P＜0.05)，同时对照组产妇在第1产程时间段的活跃期长于观察组，观察组使用产钳来助产的例数高于对照组。结论：正确采用持续硬膜外阻滞分娩镇痛，能有效达到分娩镇痛的目的。
목적：탐토병연구지속경막외조체분면진통적자궁수축이급산정특점。방법：2012년4-7월수치자연분면산부560례，작위연구대상，수궤분위관찰조화대조조，기중관찰조291례，대조조269례。재관찰조중，대산부실행경막외조체분면진통적원칙，대조조칙불재분면과정채취분면진통적방법。관찰산부분면적3개산정기간자궁수축정황화산정특점。결과：관찰조산부재채용분면진통전후적3개산정시간단내자궁수축적각항지표차이존재통계학의의(P＜0.05)，동시대조조산부재제1산정시간단적활약기장우관찰조，관찰조사용산겸래조산적례수고우대조조。결론：정학채용지속경막외조체분면진통，능유효체도분면진통적목적。
Objective:To explore and study the uterine contraction and labor stage characteristic of continuous epidural block labor analgesia.Methods:560 puerperas with spontaneous labor were selected from April to July 2012 as the study objects.They were randomly divided into the observation group and the control group.The observation group had 291 cases,and the control group had 269 cases.In the observation group,the observation group were given continuous epidural block labor to have analgesia, and the control group were not given labor analgesia method in the process of delivery.The uterine contraction and labor stage characteristics of puerperas were observed during the three labor stages.Results:During the three labor stages before and after using labor analgesia,the indicators of uterine contraction of puerperas in the observation group had significant differences (P<0.05).The active phase during the first labor stage of puerperas in the control group was longer than that of the observation group. The cases of using forceps midwifery of the observation group were higher than that of the control group.Conclusion:The correct use of continuous epidural block labor analgesia can effectively achieve the role of labor analgesia.