潜伏期行椎管内阻滞麻醉分娩镇痛对产妇妊娠结局与新生儿预后的影响  

Effect of intraspinal block anesthesia in latent period for labor analgesia on pregnancy outcome and neonatal prognosis

作　　者：左二飞 陆振华 ZUO Er-fei;LU Zhen-hua(Traditional Chinese Medicine Hospital of Yulin,Yulin 719000,China)

机构地区：[1]榆林市中医医院,陕西榆林719000

出　　处：《临床医学研究与实践》2020年第6期108-109,114,共3页Clinical Research and Practice

摘　　要：目的探究潜伏期椎管内阻滞麻醉分娩镇痛对产妇妊娠结局与新生儿预后的影响。方法选择本院2018年5月至2019年5月通过麻醉分娩镇痛的80例产妇作为研究对象,采用简单随机法将其分为对照组和观察组,每组40例。两组产妇均实施常规椎管内阻滞麻醉分娩镇痛,对照组在活跃期(宫口≥3 cm)实施镇痛,观察组在潜伏期(宫口扩张1~2 cm)进行镇痛。比较两组镇痛效果。结果观察组顺产率高于对照组,剖宫产率低于对照组(P<0.05)。观察组第一、第二、第三产程及总产程均短于对照组(P<0.05)。观察组产妇镇痛后不同时间的疼痛评分均低于对照组(P<0.05);观察组镇痛药物使用量少于对照组(P<0.05)。观察组新生儿窒息、窘迫发生率均低于对照组,新生儿Apgar评分高于对照组(P<0.05)。观察组分娩镇痛期间并发症总发生率低于对照组,但差异无统计学意义(P>0.05)。结论在潜伏期行椎管内阻滞麻醉分娩镇痛有助于改善母婴结局,缩短产妇产程时间,降低产妇疼痛水平,并提高新生儿预后康复效果。Objective To explore the effect of intraspinal anesthesia in latent period for labor analgesia pregnancy outcome and neonatal prognosis.Methods From May 2018 to May 2019,80 parturients undergoing anesthesia for labor analgesia were selected as the study objects and divided into control group and observation group by simple random method,with 40 cases in each group.Two groups of parturients were given routine intraspinal block anesthesia for labor analgesia.The control group was given analgesia in the active period(when the uterine opening was≥3 cm),while the observation group was given analgesia in the latent period(when the uterine opening was 1-2 cm).The analgesic effect of the two groups was compared.Results The rate of spontaneous delivery in the observation group was higher than that in the control group,and the rate of cesarean section was lower than that in the control group(P<0.05).The first,second,third and total stages of labor in the observation group were shorter than those in the control group(P<0.05).The pain scores of parturients at different time after analgesia in the observation group were lower than those in the control group(P<0.05);the amount of analgesic drugs used in the observation group was less than that in the control group(P<0.05).The incidence of neonatal asphyxia and distress in the observation group were lower than those in the control group,and the Apgar score of newborn was higher than that in the control group(P<0.05).The total incidence of complications during labor analgesia in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion Intraspinal block anesthesia for labor analgesia in latent period is helpful to improve maternal and infant outcomes,shorten the duration of labor,reduce the pain level of parturients,and improve the rehabilitation effect of neonatal prognosis.

关 键 词：潜伏期 椎管内阻滞麻醉 分娩镇痛 妊娠结局 新生儿预后 

分 类 号：R714.3[医药卫生—妇产科学]