腰麻—硬膜外联合阻滞镇痛对分娩结局及产时发热的影响  

Effects of combined spinal anesthesia epidural block labor analgesia on the delivery outcome and fever of labor

作　　者：张婧 范红芳 范旭菲 ZHANG Jing;FAN Hongfang;FAN Xufei(Department of Obstetrics,The Sixth Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北省石家庄市第六医院产科,050000

出　　处：《河北医药》2021年第14期2134-2137,共4页Hebei Medical Journal

摘　　要：目的探讨分娩结局及产时发热受到腰麻—硬膜外联合阻滞分娩镇痛的影响。方法回顾性选取2018年6月至2020年6月石家庄市第六医院产科产妇100例,依据接受腰麻-硬膜外联合阻滞分娩镇痛情况分为接受组(n=50)、未接受组(n=50)2组,统计分析2组产妇的分娩结局、产时发热情况、产程、宫口扩张速率、宫缩情况、胎心率、分娩镇痛后并发症发生情况。结果接受组产妇的器械助产率显著高于未接受组(P<0.05),剖宫产分娩指征中相对头盆不称、活跃期停滞比例均显著高于未接受组(P<0.05),但2组宫内感染、持续性枕横位、持续性枕后位、潜伏期延长、活跃期延长、胎儿窘迫比例、器械助产分娩指征中宫内感染、预防第二产程延长、胎儿窘迫比例差异无统计学意义(P>0.05)。接受组产妇的产时发热率显著高于未接受组(P<0.05),但2组产妇进入产房时、娩出胎儿前的体温间的差异无统计学意义(P>0.05)。接受组产妇的第一产程、活跃期、第二产程时间均显著长于未接受组(P<0.05),但2组产妇的潜伏期、第三产程时间差异均无统计学意义(P>0.05)。接受组产妇分娩镇痛后较分娩镇痛前的宫口扩张速率、宫腔压力、宫缩频度升高幅度均显著高于未接受组(P<0.05),但2组产妇分娩镇痛前后的宫缩持续时间、胎心率之间的差异均无统计学意义(P>0.05)。接受组和未接受组产妇的分娩镇痛后并发症发生率间差异无统计学意义。结论分娩结局及产时发热受到腰麻—硬膜外联合阻滞分娩镇痛的直接影响。Objective To investigate the effects of combined spinal anesthesia epidural block labor analgesia on the delivery outcome and fever of labor.Methods One hundred parturients who underwent childbirth in our hospital from June 2018 to June 2020 were enrolled in the stiudy,who were divided into observation group(combined spinal anesthesia epidural block labor analgesia)and control group(non-combined spinal anesthesia epidural block labor analgesia),with 50 cases in each group.The delivery outcome,fever during delivery,duration of labor,rate of uterine expansion,uterine contraction,fetal heart rate and the incidence of complications after labor analgesia were observed and compared between the two groups.Results The instrument assistant delivery rate,the proportion of unsymmetrical head and pelvis and stagnation of active period in observation group were significantly higher than that those in control group(P<0.05),however,there were no significant differences in intrauterine infection,persistent occipital transverse position,persistent occipital posterior position,prolonged latency,prolonged active period,and proportion of fetal distress,intrauterine infection,prevention of prolonged second stage of labor as well as fetal distress proportion between the two groups(P>0.05).The first stage of labor,the active stage and the second stage of Labor in observation group were significantly longer than those in control group,but there were no significant differences in the latency and the third stage of labor between the two groups(P>0.05).The rate of dilatation of uterus,the pressure of uterus cavity and the frequency of uterine contraction in observation group were significantly higher than those in control group(P<0.05),however,there were no significant differences in the duration of uterine contraction and the fetal heart rate the as well as the incidence of complications between the two groups(P>0.05).Conclusion The delivery outcome and fever of labor are directly influenced by combined spinal anesthesia epidural block la

关 键 词：分娩结局 产时发热 腰麻-硬膜外联合阻滞 分娩镇痛 

分 类 号：R971.2[医药卫生—药品]