药物麻醉镇痛与非药物镇痛对镇痛效果及分娩期并发症的影响  

Effects of Drug Anesthesia and Natural Labor Analgesia on Analgesic Effect and Complications during Childbirth

作　　者：贺英英[1] 林毅萍 陈瑞瑞 He Yingying(Department of Obstetrics, Bao'an Women and Children Health Care Hospital ,Shenzhen Guangdong 518133)

机构地区：[1]深圳市宝安区妇幼保健院产科

出　　处：《黑龙江医药》2019年第3期525-528,共4页Heilongjiang Medicine journal

基　　金：宝安区科技计划——基础研究项目(项目编号:20180327155611315,项目名称:非药物性分娩镇痛与药物性分娩镇痛分娩结局的研究)

摘　　要：目的:探讨药物麻醉镇痛与非药物性分娩镇痛对镇痛效果及分娩期并发症的影响。方法:选择我院2017年2月至2018年3月进行自然分娩产妇96例为研究对象,根据分娩镇痛方法不同分为A组、B组、C组,每组32例,A组采用助产士全程陪伴分娩,B组采用助产士全程陪伴、拉玛泽呼吸减痛法及分娩球、按摩球、自由体位的非药物分娩镇痛,C组采用连续硬膜外麻醉镇痛,对三组镇痛效果及分娩期并发症发生率进行观察。结果:3组产妇镇痛前的VAS评分无明显差异(P>0.05),宫口开3~5cm、宫口全开时,A组VAS评分均高于B组与C组,C组低于A组与B组,差异均有统计学意义(P<0.05);3组新生儿Apgar评分无明显差异(P>0.05),C组产妇及新生儿并发症发生率均较A组与B组高(P<0.05),A组与B组无明显差异(P>0.05)。结论:药物麻醉的镇痛效果优于非药物性镇痛,但非药物性分娩镇痛安全性更高,可减少分娩期并发症发生,可作为首选分娩镇痛手段。Objective: To investigate the effects of analgesia with drug anesthesia and natural labor analgesia on analgesia and complications during childbirth. Methods: 96 cases of natural childbirth in our hospital from February 2016 to March 2018 were selected as the research subjects.And were divided into group A, group B and group C according to the different methods of labor analgesia. Each group had 32 cases. Group A used midwives to accompany the whole course of childbirth. Group B used midwives to accompany the whole course of childbirth, Lamaze breathing pain relief method and natural labor analgesia with delivery balls, massage balls and free posture. Group C was treated with continuous epidural analgesia. The analgesic effect and incidence of complications in the three groups were observed. Results: There was no significant difference in VAS scores among the three groups before analgesia ( P >0.05). The VAS scores of group A were higher than those of group B and group C, while those of group C were lower than those of group A and group B, when the uterine orifice was opened 3-5 cm and the uterine orifice was opened completely. The differences were statistically significant ( P <0.05). There was no significant difference in Apgar score between the 3 groups ( P >0.05). The incidence of maternal and neonatal complications in group C was higher than that in group A and group B ( P <0.05).and there was no significant difference between group A and group B ( P >0.05). Conclusion: The analgesic effect of drug anesthesia is better than that of natural childbirth anesthesia, but natural childbirth anesthesia is safer and can reduce the complications during childbirth. It can be used as the first choice of labor analgesia.

关 键 词：药物麻醉镇痛 非药物性分娩镇痛 分娩期并发症 

分 类 号：R714.3[医药卫生—妇产科学]