无痛分娩在基层医院应用的临床观察  

Clinical observation on painless childbirth in the primary hospital

作　　者：邓庆军 

机构地区：[1]四川省遂宁市射洪县妇幼保健院,四川射洪629200

出　　处：《现代预防医学》2016年第23期4409-4411,共3页Modern Preventive Medicine

摘　　要：目的探讨硬膜外连续镇痛应用于基层医院无痛分娩的效果及对母婴的影响。方法随机抽取2015年9月到2016年3月本院实施的90例硬膜外连续镇痛无痛分娩产妇为观察组与同期90例未实施无痛分娩产妇作为对照组,并在疼痛等级、产程时长、剖宫产率、产后出血、新生儿评分等方面进行比较。结果观察组镇痛效果明显,两组VRS疼痛等级有统计学意义(P<0.05);第二产程较对照组有所延长(P<0.05),第一及第三产程无明显差异;剖宫产率明显降低,两组差异有统计学意义(P<0.05);产后出血,新生儿Apgar评分差异无统计学意义(P>0.05)。结论连续硬膜外镇痛无痛分娩镇痛效果明显;有助于降低剖宫产率;对母婴无不良影响。Objective To investigate the effect of continuous epidural analgesia on painless childbirth and its effect on the maternal and child. Methods 90 cases of pregnant women given epidural continuous analgesia for painless childbirth were selected as the observation group from September 2015 to March 2016 in our hospital, and 90 cases of pregnant women given normal childbirth in the same period were selected as the control group. Degree of pain, duration of labor, cesarean section rate, postpartum hemorrhage and neonatal Apgar score of two groups were compared. Results In the observation group, the analgesic effect was remarkable,and the VRS pain levels between two groups had signlficant difference （P 〈0.05 ）. The second stage in the observation group compared with the control group presented an increasing trend （ P 〈 0.05 ）, while the first and third labors had no significant differences. Cesarean section rate significantly decreased in the observation group, and the difference between the two groups had statistical significance （ P 〈 0.05 ）. Meanwhile, postpartum hemorrhage and neonatal Apgar score of two groups were no statistical significance （ P 〉 0.05 ）. Conclusion Continuous epidural analgesia on painless childbirth has remarkable effect, which helps to reduce the rate of cesarean section and has no adverse effects on mother and fetus.

关 键 词：硬膜外连续镇痛 无痛分娩 镇痛效果 剖宫产率 

分 类 号：R71[医药卫生—妇产科学]