不同时机行硬膜外自控分娩镇痛对产程、母婴结局的影响研究  

Study on the effect of patient-controlled epidural labor analgesia at different times on labor process and maternal and infant outcome

作　　者：时元昊 Shi Yuanhao(Donghai County People's Hospital,Jiangyungang City,Lianyungang Jiangsu,222300,China)

机构地区：[1]江苏省江云港市东海县人民医院,江苏连云港222300

出　　处：《中外女性健康研究》2021年第23期37-38,共2页Women＇s Health Research

摘　　要：目的:探究自然分娩产妇在不同时机接受硬膜外自控分娩镇痛,对产妇产程与母婴结局的影响。方法:本科室将本院2019年1月至2019年12月接收的160例产妇选为研究对象,按分娩不同时机均分为甲、乙、丙、对照组四组。结果:丙组产妇第一产程短于甲组,甲组产妇第一产程短于乙组与对照组,差异有统计学意义,P<0.05。甲、乙、丙三组产妇自然分娩率分别为90.0%、87.5%、85.0%,明显高于对照组的72.5%,P<0.05。甲、乙、丙三组剖宫产率分别为10.0%、12.5%、15.0%,均低于对照组的27.5%,P<0.05。结论:将硬膜外自控分娩镇痛应用于产妇分娩,有助于缩短产妇产程,提升自然分娩率。Objective:To explore the effects of epidural controlled labor analgesia on maternal and infant outcomes during natural labor.Methods:160 cases of parturients received by our hospital from January 2019 to December 2019 were selected as research objects,and were divided into four groups:A,B,C and control group according to different delivery timing.Results:The first labor course of parturients in group C was shorter than that in group A,and the first labor course of parturients in group A was shorter than that in group B and control group,the difference was statistically significant,P<0.05.The rates of natural childbirth in group A,B and C were 90.0%,87.5%and 85.0%respectively,which were significantly higher than those in the control group(72.5%),(P<0.05).The rates of caesarean section in group A,B and C were 10.0%,12.5%and 15.0%respectively,lower than 27.5%in control group,P<0.05.Conclusion:The application of epidural analgesia in parturient labor is helpful to shorten the labor course and improve the rate of natural labor.

关 键 词：分娩镇痛 硬膜外 不同时机 产程 母婴结局 

分 类 号：R614.4[医药卫生—麻醉学]