无痛分娩方式对降低剖宫产率的临床作用及缩短产程分析  

Analysis of the Clinical Effect of Painless Delivery Method in Reducing the Rate of Cesarean Section and Shortening the Course of Labor

作　　者：杨娇娥[1] YANG Jiaoe(The 940 Hospital of the Northwest Joint Service Support Force of the Chinese People's Liberation Army,Lanzhou,Gansu Province,730050 China)

机构地区：[1]中国人民解放军西北联勤保障部队第九四〇医院,甘肃兰州730050

出　　处：《系统医学》2021年第6期122-124,共3页Systems Medicine

摘　　要：目的探讨无痛分娩方式对降低剖宫产率的临床作用及缩短产程的作用。方法选择该院在2019年6月—2020年6月期间接收的110名分娩产妇作为该次研究观察对象,通过随机抽签的方式将其分为参照组和观察组。参照组55名产妇安排开展常规分娩,观察组55名产妇安排开展无痛分娩,对其产程时间进行比较,包括第一产程以及第二产程时间,同时观察其组间疼痛评分差异以及剖宫产率差异。结果观察组第一产程时间(46.75±7.02)min以及第二产程时间(46.62±5.25)min明显低于对照组,观察组的疼痛评分(3.75±0.50)分低于参照组,组间数据差异有统计学意义(t=9.229、8.744、20.049,P<0.05);观察组剖宫产率(7.27%)、新生儿缺氧发生率(1.82%)低于对照组,组间数据差异有统计学意义(χ^(2)=4.681、4.356,P<0.05)。结论无痛分娩方式不仅可以进一步降低剖宫产率以及新生儿缺氧发生率,而且还能够在更大程度上帮助产妇缩短产程,缓解其疼痛感。Objective To investigate the clinical effects of painless delivery methods on reducing the rate of cesarean section and the effect of shortening the course of labor.Methods The 110 delivery women received by the hospital from June 2019 to June 2020 were selected as the observation objects for this study,and they were divided into a reference group and an observation group by random drawing.The 55 parturients in the reference group were arranged to carry out routine labor,and the 55 parturients in the observation group were arranged to carry out painless labor.The labor time was compared,including the time of the first labor and the second labor,and the difference in pain scores between the groups and cesarean section rate difference.Results The observation group's time to the first stage of labor(46.75±7.02)min and the second stage of labor(46.62±5.25)min were significantly lower than those of the reference group,and the pain score(3.75±0.50)points of the observation group was lower than that of the reference group.The data difference between the groups was statistically significant(t=9.229,8.744,20.049,P<0.05);the observation group's cesarean section rate(7.27%)and the incidence of neonatal hypoxia(1.82%)were lower than those of the reference group,the data difference between the groups was statistically significant(χ^(2)=4.681,4.356,P<0.05).Conclusion The painless delivery method can not only further reduce the cesarean section rate and the incidence of neonatal hypoxia,but also help the parturient to shorten the labor process and relieve the pain to a greater extent.It is worthy of further promotion.

关 键 词：无痛分娩 剖宫产 产程 疼痛 新生儿缺氧 

分 类 号：R719.8[医药卫生—妇产科学]