持续硬膜外阻滞麻醉分娩镇痛对产程的影响120例分析  

Analysis Effect of 120 Cases With Continuous Epidural Anesthesia for Labor Analgesia on Birth Process

作　　者：何红霞[1] 

机构地区：[1]北京美中宜和妇儿医院妇产科,100015

出　　处：《中国继续医学教育》2015年第29期68-70,共3页China Continuing Medical Education

摘　　要：目的分析持续硬膜外阻滞麻醉分娩镇痛对产程的影响。方法回顾性分析采用持续硬膜外阻滞麻醉分娩产妇120例及选择分娩镇痛的产妇120例的临床资料。比较两组产妇产程、产程过程的疼痛程度、满意度、配合度情况。结果两组产程疼痛程度、分娩过程中配合度评分、产程过程的满意度评分比较,P<0.01,差异具有统计学意义。非枕前位入盆的产妇,镇痛组产妇平均宫口开大2 cm到开全时间长于未镇痛产妇,P<0.01,差异具有统计学意义。出口横径<双顶径的产妇,镇痛组第二产程时间长于未镇痛组的产妇,P<0.01,差异具有统计学意义。结论持续硬膜外阻滞麻醉分娩镇痛能够缓解产妇疼痛程度,提高产妇配合度及满意度,对产程的影响较小。Objective To analysis the effect of continuous epidural anesthesia for labor analgesia on birth process.Methods Clinical data of 120 cases with continuous epidural anesthesia for labor analgesia and 120 cases without continuous epidural anesthesia for labor analgesia were respectively analyzed. birth process, pain, satisfaction, and adaptability of two groups were compared.ResultsPain, satisfaction, and adaptability scores of two groups,P〈0.01, had difference statistically significance. In non pillow before entering the basin of maternal, the average time of miyaguchi 2 cm wide to full of labor analgesia group was longer than non-labor analgesia group,P〈0.01, had difference statistically significance. In outlet diameter 〈 BPD, the second stage of labor of labor analgesia group was longer than non-labor analgesia group,P〈0.01, had difference statistically significance.Conclusion Continuous epidural anesthesia for labor analgesia can release maternal pain, and improve maternal degree of cooperation and satisfaction, and with less effect on birth process.

关 键 词：持续硬膜外阻滞 分娩镇痛 产程 

分 类 号：R714.3[医药卫生—妇产科学]