可行走式硬膜外无痛分娩对母婴结果影响的研究  

The application of epidural anesthesia on walkable painless labor for maternal pregnancy

作　　者：冯丽燕[1] 林文萍[2] FENG Liyan;LIN Wenping(Department of Anesthesiology,Lishui Central Hospital,Lishui 323000,China;Department of Quality Management,Lishui Central Hospital,Lishui 323000,China)

机构地区：[1]丽水市中心医院麻醉科,323000 [2]丽水市中心医院质量管理处,323000

出　　处：《护理管理杂志》2019年第2期150-152,共3页Journal of Nursing Administration

摘　　要：目的探讨可行走式硬膜外镇痛分娩对母婴的影响。方法选取无痛分娩产妇324例,分为对照组和观察组各162例。两组均采用硬膜外麻醉实施常规护理,对照组镇痛后分娩卧床,观察组采用可行走式镇痛分娩,比较两组产程、产后24 h泌乳量和产程中留置导尿及产后尿潴留等。结果观察组总产程、产程中留置导尿及产后尿潴留、新生儿窒息发生率低于对照组(P<0.01或P<0.05),观察组产妇产后24 h泌乳量评分明显高于对照组(P<0.05)。结论可行走式硬膜外麻醉配合用于无痛分娩减少了产程中留置导尿及产后尿潴留比例,增加了产后泌乳,降低了新生儿窒息。方法安全有效,值的临床推广。Objective To explore the effect of epidural analgesiaon walkable painless labor for maternal pregnancy. Methods A total of 324 of maternal pregnancy were selected and randomly divided into the control group( n =162) and the observation group( n =162).The control group was treated with conventional delivery,the observation group received epidural analgesia on walkable painless labor.The time of total stage of labor,postpartum 24 h milk yield,in dwelling catheterization during labor and postpartum urinary retention in the two groups were compared. Results The time of total stage of labor,indwelling catheterzation during labor,postpartum urinary retention and the rate of neonatal asphyxia in the observation group was lower than the control group ( P <0.01 or P <0.05), and postpartum 24 h milk yield in the observation group was significantly higher than the control group ( P <0.05). Conclusion Epidural analgesiaon walkable painless labor for maternal pregnancycan reduces the rate of postpartum urinary retention and neonatal asphyxia,increase 24 h milk yield,which proves to be an effective method and worthy for promotion in the clinics.

关 键 词：分娩镇痛 可行走式硬膜外麻醉 母婴结果 

分 类 号：R714.3[医药卫生—妇产科学]