无痛分娩30例临床分析  

30 cases clinical analysis of the painless parturition

作　　者：徐博[1] 詹玮玮[1] 李媛媛[1] 张小莎[1] 

机构地区：[1]三峡大学第三临床医学院葛洲坝中心医院妇产科,湖北宜昌443002

出　　处：《中国妇幼保健》2007年第33期4718-4719,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨无痛分娩与产程进展、产程中胎心率变化、新生儿出生后Apgar评分、产后出血及分娩方式的关系。方法:选择我院产科2004年11月～2005年12月实施无痛分娩的30例孕产妇(试验组)及未采用镇痛而自然分娩的30例孕产妇(对照组),比较两组的分娩情况。结果:无痛分娩镇痛效果好,孕产妇的活跃期时间较未采用镇痛而自然分娩的产妇明显缩短,剖宫产率明显降低;而第二产程、第三产程时间、产后出血量、新生儿出生后Apgar评分及产程中胎心率变化,两组间无显著性差异(P>0.05)。结论:无痛分娩镇痛效果确切,可促进第一产程活跃期进展,降低剖宫产率。Objective： To explore the relationship between the painless parturition, parturition process, fetal rhythm of heart, postnatal Apgar grade, postpartum hemorrhage and the method of parturition. Methods： The obstetric data of the parturition process, fetal rhythm of heart, postnatal Apgar grade, postpartum hemorrhage and the method of parturition between the group of painless parturition and nature parturition of 30 case pregnant women between Nov 2004 and Dec 2005 were compared. Results： Painless parturition has distinct antalgic effect. The activity time of the pregnant women and the rate of Caesarean section were obviously reduced and the postpartum hemorrhage, postnatal Apgar grade, fetal rhythm of heart hadn＇t distinct difference. Conclusion： The painless parturition has distinct antalgic effect. It may accelerate the activity parturition process and reduce the rate of Caesarean section.

关 键 词：无痛分娩 活跃期 剖宫产率 

分 类 号：R714.3[医药卫生—妇产科学]