采用连续硬膜外分娩镇痛对孕产妇产程及分娩方式的影响  

Effect of continuous epidural analgesia on delivery process and delivery methods of pregnant women

作　　者：赵琳 杜继贤 李波 ZHAO Lin;DU Jixian;LI Bo(Department of Obstetrics and Gynecology,Nan’ao People’s Hospital of Shenzhen Dapeng New District,Shenzhen 518121,Guangdong,China;Department of Anesthesiology,Maternity and Child Health Hospital of Shenzhen Dapeng New District,Shenzhen 518121,Guangdong,China;Department of Obstetrics,Maternity and Child Health Hospital of Shenzhen Dapeng New District,Shenzhen 518121,Guangdong,China)

机构地区：[1]深圳市大鹏新区南澳人民医院妇产科,广东深圳518121 [2]深圳市大鹏新区妇幼保健院麻醉科,广东深圳518121 [3]深圳市大鹏新区妇幼保健院产科,广东深圳518121

出　　处：《外科研究与新技术》2021年第2期131-133,共3页Surgical Research and New Technique

基　　金：大鹏新区科技创新和产业发展专项资金项目(YL202001-12)。

摘　　要：目的采用连续硬膜外分娩镇痛对孕产妇产程及分娩方式的影响。方法选取2019年3月—2020年10月进行分娩的120例产妇作为主要研究对象,按随机数字表法的分组方式,将120例产妇分为对照组与观察组,每组各60例,对照组进行常规分娩,观察组对产妇实施连续硬膜外镇痛,分别对两组产妇的产程疼痛程度(VAS)、生命体征以及分娩前后的焦虑、抑郁程度进行比较。结果分娩前,两组产妇的焦虑、抑郁评分差异无统计学意义(P>0.05);观察组产妇第一、第二、第三产程的VAS评分明显低于对照组,血压、心率、以及焦虑、抑郁评分明显低于对照组,脉氧饱和度明显高于对照组,差异具有统计学意义(P<0.05)。结论在产妇分娩过程中,对产妇进行连续硬膜外镇痛,不仅能够降低产妇的疼痛感,还能稳定产妇的生命体征,有利于缓解产妇的不良心理状态,值得在临床中推广应用。Objective To evaluate the effect of continuous epidural analgesia on delivery process and delivery methods of pregnant women.Methods A total of 120 parturients who gave birth from March 2019 to October 2020 were selected as study subjects.According to the random number table,they were divided into a control group and an observation group,with 60 cases in each group.The control group adopted routine delivery,and the observation group was given continuous epidural analgesia.The pain degree(VAS),vital signs,and anxiety and depression levels before and after delivery of the two groups were compared.Results Before delivery,the anxiety and depression scores of the two groups of parturients were not different(P>0.05).The VAS scores in the first,second,and third stages of labor of the observation group were significantly lower than those of the control group,so were the blood pressure,heart rate,and anxiety and depression scores,and the pulse oxygen saturation of the observation was significantly higher than that of the control group(P<0.05).Conclusion In the process of delivery,continuous epidural analgesia for the parturients can not only reduce pain,but also stabilize vital signs and help relieve mood.It is therefore worthy of clinical application.

关 键 词：连续硬膜外镇痛 孕产妇 产程 分娩方式 

分 类 号：R714[医药卫生—妇产科学]