摘要
目的研究可行走式硬膜外分娩镇痛的镇痛效果及对母儿的影响。方法将2014年1-12月在该院住院分娩的单胎足月初产孕妇分为两组,进入活跃期行分娩镇痛的68例孕妇为观察组,未行分娩镇痛的270例孕妇为对照组;分组按照患者自愿的原则。结果观察组孕妇分娩镇痛效果确切,镇痛后各时间点疼痛评分与对照组比较均降低(P<0.05),无运动阻滞发生;观察组与对照组比较,第一产程活跃期时间及第二产程时间均延长,差异有统计学意义(P<0.05),但产程在正常范围内;观察组会阴侧切率小于对照组,差异有统计学意义(P<0.05);两组缩宫素使用率、产后2 h出血量、器械助产率、胎儿宫内窘迫发生率及新生儿窒息发生率比较,差异均无统计学意义(P>0.05)。结论可行走式硬膜外分娩镇痛效果确切,对母儿安全,值得推广应用。
Objective To research the analgesic effect of walking epidural labor analgesia and the impact on mothers and infants. Methods The full-term primiparous women of single pregnancy were selected from the hospital from January to December in 2014, then they were divided into observation group （28 pregnant women receiving labor analgesia during active phase） and control group （270 pregnant women not receiving labor analgesia） according to principle of voluntary. Results The analgesic effect of walking epidural labor analgesia in observation group was good, pain scores at different time points after analgesia were statistically significantly lower than those in control group （ P〈O. 05）, no movement block occurred ; active labor time during the first stage of labor and the time of the second stage of labor in observa- tion group were statistically significantly longer than those in control group （P〈0. 05 ）, but stages of labor were within normal range. Perineal episiotomy rate in observation group was statistically significantly lower than that in control group （P〈0. 05 ） . There was no statistically sig- nificant difference in usage rate of oxytocin, the amount of blood loss after two hours of delivery, instrument midwifery rate, incidence rates of fetal distress and neonatal asphyxia between the two groups （ P〉0.05 ） . Conclusion The analgesic effect of walking epidural labor anal- gesia is good, the method is safe for mothers and infants, which is worthy of popularization and application.
出处
《中国妇幼保健》
CAS
2016年第13期2623-2625,共3页
Maternal and Child Health Care of China
基金
新疆兵团第八师人才专项基金项目(20161505)
关键词
可行走式硬膜外分娩镇痛
镇痛效果
母儿影响
Walking epidural labor analgesia
Analgesic effect
Effect on mother and infant
