疼痛时的分娩镇痛和催产素在羊水偏少孕妇阴道试产中的应用效果  

Effect of Labor analgesia during pain and oxytocin in vaginal trial delivery of pregnant women with less amniotic fluid

作　　者：黄小青 罗序清 张继红 HUANG Xiaoqing;LUO Xuqing;ZHANG Jihong(Department of Obstetrics,Xinyu Maternal and Child Health Hospital,Jiangxi Province,Xinyu 338000,China)

机构地区：[1]江西省新余市妇幼保健院产科,江西新余338000

出　　处：《中国当代医药》2023年第22期100-103,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212253)。

摘　　要：目的探讨疼痛时的分娩镇痛联合催产素对羊水偏少孕妇在阴道试产中的应用效果。方法选取2020年1月至2022年6月于新余市妇幼保健院住院,临床诊断为羊水偏少并需阴道试产的50例孕妇为研究对象,采用随机数字表法分为研究组(25例)和对照组(25例)。研究组孕妇静脉滴注催产素引产,待孕妇疼痛时使用分娩镇痛,直至分娩。对照组孕妇静脉滴注催产素引产,按照分娩镇痛指南待宫口开2cm以上给予分娩镇痛。比较两组产妇潜伏期、活跃期、第二、三产程时间,不良反应发生情况以及孕产妇疼痛感。结果研究组产妇潜伏期,第二、三产程时间均短于对照组,差异有统计学意义(P<0.05)。两组产妇的活跃期时间比较,差异无统计学意义(P>0.05)。研究组产妇并发症总发生率低于对照组,差异有统计学意义(P<0.05)。研究组产妇的无或轻度疼痛总发生率高于对照组,差异有统计学意义(P<0.05)。结论孕妇感觉疼痛时使用分娩镇痛减轻了患者中、重度的分娩疼痛感,同时不因孕妇疼痛难忍停用催产素,可明显缩短产程的时间,降低产妇及新生儿的不良反应发生。Objective To investigate the effect of Labor analgesia during pain combined with oxytocin on vaginal trial labor in pregnant women with oligohydramnios.Methods A total of 50 pregnant women who were hospitalized in Xinyu Maternal and Child Health Hospital from January 2020 to June 2022 and were clinically diagnosed as oligohydramnios and needed vaginal trial delivery were selected as the study subjects.Randomized number table method was used to divide the study group(25 cases)and the control group(25 cases).The pregnant women in the study group were injected oxytocin intravenously to induce labor.When the pregnant women were in pain,analgesia was used until labor.In the control group,the pregnant women were induced to labor by intravenous drip of oxytocin,and analgesia delivery was given according to the guidelines for labor analgesia when the uterine opening was more than 2 cm.The latency,active period,the second and third stages of labor,adverse reactions and maternal pain were compared between the two groups.Results The incubation period,the second and third stages of labor in the study group were shorter than those in the control group,with statistically significant differences(P<0.05).There was no significant difference in the active period time between the two groups(P>0.05).The overall incidence of maternal complications in the study group was lower than the control group,and the difference was statistically significant(P<0.05).The overall incidence of no or mild pain in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion When pregnant women feel pain,the use of labor analgesia can reduce the moderate and severe labor pain of patients.At the same time,oxytocin can not be stopped because of the pain of pregnant women,which can significantly shorten the time of labor process and reduce the adverse reactions of pregnant women and newborns.

关 键 词：疼痛时的分娩镇痛 催产素 羊水偏少孕妇 阴道试产 应用效果 

分 类 号：R714[医药卫生—妇产科学]