滚动法联合硬膜外分娩镇痛术对促进自然分娩的效果  

Effect of rolling method combined with epidural labor analgesia on promoting natural labor

作　　者：曾洪 ZENG Hong(Department of Obstetrics,Pingxiang Maternity and Child Health Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市妇幼保健院产科,江西萍乡337000

出　　处：《中国当代医药》2021年第35期106-108,共3页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP420200129)。

摘　　要：目的探讨滚动法联合硬膜外分娩镇痛术对促进自然分娩的效果。方法选择2020年8月至2021年3月江西省萍乡市妇幼保健院的70例阴道试产初产妇作为研究对象,采用随机数字表法将其分为对照组与观察组,每组35例。对照组产妇在宫口开大3 cm后实施硬膜外分娩镇痛后采用传统平卧位待产方式,观察组产妇在宫口开大3 cm后实施滚动法联合硬膜外分娩镇痛。比较两组产妇的第一产程、宫缩疼痛程度、产后出血量、产妇分娩结局以及新生儿出生情况。结果观察组的第一产程短于对照组,宫缩疼痛评分低于对照组,产后出血量少于对照组,差异有统计学意义(P<0.05)。观察组的自然分娩率高于对照组,产妇会阴侧切、软产道损伤以及产后大出血等不良分娩结局总发生率低于对照组,差异有统计学意义(P<0.05)。观察组的胎儿宫内窘迫、新生儿窒息、新生儿感染等新生儿不良反应总发生率(5.71%)低于对照组(28.57%),新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论滚动法联合硬膜外分娩镇痛术可缩短产程,缓解宫缩疼痛,减少产后出血量,提高自然分娩率,改善母婴结局。Objective To explore the effect of rolling method combined with epidural labor analgesia on promoting natural labor.Methods From August 2020 to March 2021,70 primiparas with vaginal labor in the Pingxiang Maternity and Child Health Hospital in Jiangxi Province were selected as the research subjects.They were divided into the control group and the observation group according to random number table method,with 35 cases in each group.The primiparas in the control group received epidural analgesia after the uterine orifice opening 3 cm and awaiting delivery in supine position.In the observation group,rolling combined with epidural labor analgesia was performed after the opening of the uterine orifice was 3 cm wide.The first stage of labor,uterine contraction pain,postpartum hemorrhage,maternal delivery outcome,and the condition of newborn birth were compared between the two groups.Results The first stage of labor in the observation group was shorter than that in the control group,the uterine contraction pain score in the observation group was lower than that of the control group,the amount of postpartum hemorrhage in the observation group was less than that of the control group,and the differences were statistically significant(P<0.05).The rate of natural childbirth in the observation group was higher than that in the control group,the total incidence rate of adverse birth outcomes such as maternal lateral resection,soft birth canal injury,and postpartum massive hemorrhage in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The total incidence of neonatal adverse reactions such as fetal distress,neonatal asphyxia,and neonatal infection in the observation group(5.71%)was lower than that of the control group(28.57%),the Apgar score of the newborn in the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The rolling method combined with epidural labor analgesia can short

关 键 词：硬膜外分娩镇痛术 滚动法 自然分娩 产程 母婴结局 

分 类 号：R714.3[医药卫生—妇产科学]