笑气吸入在无痛分娩中的临床效果观察  

Clinical efficacy of nitrous oxide inhalation in painless delivery

作　　者：安宁[1] 刘锦辉[2] 

机构地区：[1]四川省崇州市人民医院,611230 [2]四川省妇女儿童医院

出　　处：《中国医学创新》2012年第1期15-16,共2页Medical Innovation of China

摘　　要：目的探讨笑气吸入对分娩镇痛的临床疗效和对母儿的影响。方法将360例选择经阴道分娩的产妇纳入研究,按入院的先后顺序随机分为观察组与对照组,每组180例。观察组给予笑气吸入镇痛,对照组未进行无痛分娩。观察两组的产痛程度、产程时间、分娩方式、羊水粪染率、新生儿Apgar评分和产后出血量等临床指标。结果观察组的阵痛强度评分明显低于对照组,观察组的产程时间短于对照组,差异有统计学意义(P<0.05);两组分娩方式、新生儿Apgar评分、产时出血量和羊水粪染率差异无统计学意义(P>0.05)。结论笑气用于无痛分娩对产妇镇痛效果好,产程时间短,出血量少,安全,对母儿均无不良影响,是一种理想的分娩镇痛方法。Objective To explore the clinical efficacy and effects on mother and child of nitrous oxide inhalation in painless delivery. Methods 360 cases of selected vaginal delivery were included in the study of maternal, According to the order of admission, they were randomly divided into observation group and control group （n = 180）. Observation group was given nitrous oxide inhalation analgesia, while the control group was not for painless childbirth. All clinical parameters were observed and compared between the two groups including the degree of labor pain, labor time, mode of delivery, rate of meconium - stained amniotic fluid, apgar score and postpartum hemorrhage, etc. Results The intensity of pain score was significantly lower than the control group and the labor time of the observation group shorter than the control group, the difference was significant （ P 〈 0.05 ）. There were no significant difference between the two groups on mode of delivery, Rate of meconium - stained amniotic fluid, apgar score and postpartum hemorrhage rates （ P 〉 0. 05 ）. Conclusion Nitrous oxide for painless childbirth with the analgesic effect of maternal, labor time is short, less blood loss, safety, no adverse effects on mother and child benefits, is an ideal labor analgesia.

关 键 词：笑气 分娩 镇痛 

分 类 号：R714.3[医药卫生—妇产科学]