计划无痛分娩的临床研究  

CLINICAL STUDY OF PLANNED PAINLESS LABOR

作　　者：赵艳琼[1] 李启金[1] 

机构地区：[1]广西医科大学第一附属医院妇产科

出　　处：《广西医科大学学报》1997年第4期51-54,共4页Journal of Guangxi Medical University

摘　　要：选择１２２例足月待产、头位、估计可阴道分娩的健康孕妇分为两组，观察组６０例，采用蒂洛安、催产素、安定、无痛分娩膜等进行计划无痛分娩；对照组６２例，不行计划无痛分娩。观察两组的产程、分娩时间、无痛分娩效果及对母儿的影响。结果：观察组总产程为（８．１６±２．０８）ｈ，日间分娩率为７８．３３％，无痛分娩优良率为７５％；对照组总产程为（１０．４５±３．５８）ｈ，日间分娩率为５４．８４％，无痛分娩优良率为１７．７４％，两组比较均有显著性差异（Ｐ＜０．０１）；而观察组与对照组在分娩方式、产后出血、胎儿窘迫、新生儿窒息等方面无显著性差异（Ｐ＞０．０５）。说明计划无痛分娩可缩短产程，增加日间分娩率，无痛分娩效果满意，对母儿无不良影响。In order to study the effect and safety of planned painless labor,122 term pregnant women,all with cephalic presentation and without complication,and in whom antenatal examinations were normal,were studied and randomly divided into 2 groups.In one group(planned group,n=60) planned painless labor was administered,while the other group (n=62) acted as controls.The progress of labor,analgesics effects and fetal and neonatal wellbeing were determined.Results:The average course of labor in the planned group (8.16±2.08 hours) was significantly shorter than that of the control group (10.45±3.58 hours)(P<0.01).The daytime labor rate and the excellent analgesia rate in the planned group were 78.33% and 75.0% respectively,which were significantly higher than those of the control group (54.84% and 17.74% respectively)(P<0.01).There were no significant differences between the two groups as regards to the mode of delivery,postterm hemorrhage,fetal distress and neonatal asphyxia(P>0.05).Our results show that planned painless labor can shorten the course of labor,increase daytime labor rate,produce sastisfactory analgesic effect,and without any adverse effects to the mother and child.

关 键 词：计划分娩 无痛分娩 产程 

分 类 号：R714.7[医药卫生—妇产科学] R714.3[医药卫生—临床医学]