拉马策氏法联合硬膜外麻醉在无痛分娩中的应用效果  

Application Effect of Ramatzer Method Combined with Epidural Anesthesia in Painless Delivery

作　　者：丁晓芳[1] 吕志华[1] 孙聪北[1] DING Xiaofang;LÜZhihua;SUN Congbei(Department of Gynecology,Zhengzhou First People’s Hospital,Zhengzhou 450006,China)

机构地区：[1]郑州市第一人民医院妇科,河南郑州450006

出　　处：《河南医学研究》2022年第7期1244-1246,共3页Henan Medical Research

摘　　要：目的探讨拉马策氏法联合硬膜外麻醉在无痛分娩中的应用效果。方法选取2019年11月至2020年11月郑州市第一人民医院收治的86例无痛分娩产妇,以计算机完全随机分组法将其分为参照组(43例)和观察组(43例)。参照组产妇接受硬膜外麻醉,观察组产妇在硬膜外麻醉基础上加用拉马策氏法。统计并比较两组分娩结局,包括剖宫产率、产褥感染率和产后出血量。比较两组产妇第一产程、第二产程、第三产程及总产程时间。记录两组镇痛效果。结果参照组剖宫产率、产褥感染率分别为18.60%、13.95%。观察组剖宫产率、产褥感染率分别为4.65%、2.33%。观察组剖宫产率、产褥感染率均低于参照组(P<0.05)。观察组第一产程、第二产程、第三产程及总产程时间均短于参照组,产后出血量较参照组少(P<0.05)。参照组和观察组镇痛率分别为86.05%、97.67%。观察组镇痛率高于参照组(P<0.05)。结论拉马策氏法联合硬膜外麻醉可以缩短无痛分娩产妇的产程,提高产妇的镇痛效果,改善产妇的分娩结局。Objective To explore the application effect of Ramatzer combined with epidural anesthesia in painless delivery.Methods From November 2019 to November 2020,86 cases of painless delivery in Zhengzhou First People's Hospital were selected and divided into reference group(43 cases)and observation group(43 cases)by computer completely random grouping method.The parturients in reference group received epidural anesthesia,while those in observation group were given Ramatzer combined with epidural anesthesia.The delivery outcomes of the two groups were statistically compared,including cesarean section rate,puerperal infection rate and postpartum hemohage.The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor time were compared between the two groups.The analgesic effect of the two groups was recorded.Results The cesarean section rate and puerperal infection rate in reference group were 18.60%and 13.95%,respectively.The cesarean section rate and puerperal infection rate in observation group were 4.65% and 2.33%,respectively.The cesarean section rate and puerperal infection rate in observation group were lower than those in reference group(P<0.05).The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in observation group were shorter than those in reference group,and the postpartum hemorrhage was less than that in reference group(P<0.05).The analgesic rates of reference group and observation group were 86.05%and 97.67%,respectively.The analgesic rate of observation group was higher than that of reference group(P<0.05).Condlusion The Ramatzer method combined with epidural anesthesia can reduce the delivery time of painless delivery patients,improve their analgesic effect,and improve their delivery outcome.

关 键 词：无痛分娩 拉马策氏法 硬膜外麻醉 产程时间 镇痛效果 分娩结局 

分 类 号：R714.3[医药卫生—妇产科学]