40例分娩镇痛母婴结局分析  

Analysis on the delivery outcomes by labor analgesia in 40 cases

作　　者：马少平[1] 孔丽娜[1] 何莲芝[1] 凌利[1] 方永巧 

机构地区：[1]皖南医学院第一附属医院弋矶山医院妇产科,安徽芜湖241001

出　　处：《皖南医学院学报》2017年第2期125-127,共3页Journal of Wannan Medical College

摘　　要：目的:探讨分娩镇痛对产程及母婴结局的影响。方法:选择2016年1~10月在我院自然生产的孕妇121例,分为对照组与观察组,对照组81例,观察组40例。对照组常规分娩,分娩过程中医务人员为产妇提供指导、鼓励与帮助。观察组硬膜外麻醉,行分娩镇痛。结果:观察组镇痛效果明显优于对照组(P<0.05),差异有统计学意义;观察组第一产程时间(10.54±4.37)h,第二产程时间(0.93±0.55)h,总产程时间(11.66±4.47)h;对照组第一产程时间(6.83±3.15)h,第二产程时间(0.74±0.44)h,总产程时间(7.74±3.25)h;两组产程时间对比,P<0.05,差异有统计学意义。两组产时失血量及新生儿窒息率、新生儿体质量比较(P>0.05),差异无统计学意义。结论:分娩镇痛减轻产妇疼痛感,虽延长产程,但对产时失血量及新生儿没有影响,在保障母婴安全前提下,能减少产妇分娩的痛苦,促进阴道分娩,降低剖宫产率。Objective：To observe the effects of painless labor on the birth process as well as maternal and neonatal outcomes.Methods： 121 women undergoing normal delivery in our hospital were included from January to October of 2016,and divided into a control group （n=81） and observational group（n=40）.The control group underwent normal delivery under the instructions,encouragement and assistance of the midwife,whereas the observational group were given epidural anesthesia for painless labor.Results：The observational group had significantly better analgesic effect than the control group（P〈0.05）.The first stage of labor,second stage of labor and total stage of labor were（10.54±4.37） h,（0.93±0.55） h,（11.66±4.47） h,and （6.83±3.15） h,（0.74±0.44） h,（7.74±3.25） h,respectively for the observational group and control group.The difference was significant between groups（P﹤0.05）.However,there was no statistical difference concerning the blood loss during labor,incidence of neonatal asphyxia and birth weight（P﹥0.05）.Conclusion：Painless labor can relieve the pain of women during delivery.Although this practice may delay the labor duration,yet it produces less effect on the blood loss and newborns,and may improve the vaginal delivery and unneeded cesarean section,provided that both maternal and neonatal safety were guaranteed.

关 键 词：分娩镇痛 产程 母婴结局 

分 类 号：R714.3[医药卫生—妇产科学]