超声引导下正中入路硬膜外分娩镇痛的临床效果评价  

Clinical Effectiveness Evaluation of Epidural Labor Analgesia by Ultrasound-guided Median Approach

作　　者：吴春梅 徐健红[1] 毕婉婷 水华 郑晓玲[1] Wu Chun-mei;Xu Jianhong;Bi Wanting(Department of Anesthesiology,Huadu District Maternal and Child Health Hospital(Huzhong Hospital),Guangzhou,Guangdong,510800,China)

机构地区：[1]广州市花都区妇幼保健院(胡忠医院)麻醉科,广东广州510800

出　　处：《黑龙江医学》2023年第23期2855-2857,共3页Heilongjiang Medical Journal

摘　　要：目的:研究超声引导下正中入路硬膜外分娩镇痛的临床效果。方法:选择2020年1月—2021年12月广州市花都区妇幼保健院收治的100例产妇作为研究对象,采用随机数表法,分为对照组(n=50)和研究组(n=50),分别给予硬膜外分娩镇痛和予以超声引导下正中入路硬膜外分娩镇痛,对两组产妇产程时间、两组产妇分娩方式、两组产妇疼痛程度、两组产妇产后2 h出血量、两组新生儿1 min Apgar评分、两组产妇满意度、两组产妇不良反应进行观察比较。结果:研究组第一产程较对照组明显更长,第二产程时间较对照组明显更长,差异有统计学意义(t=2.758、8.653,P<0.05);研究组经阴分娩例数构成比较对照组明显更高,剖宫产分娩例数构成比较对照组明显更低,差异有统计学意义(χ^(2)=6.139、4.574,P<0.05);两组产妇宫口全开时观察比较结果显示以及分娩后观察比较结果显示研究组VAS评分均明显较对照组低,差异有统计学意义(t=17.455、8.384,P<0.05);两组产妇分娩满意度观察比较结果显示研究组评分明显较对照组高,差异有统计学意义(t=8.564,P<0.05)。结论:超声引导下正中入路硬膜外分娩镇痛虽然会在一定程度上延长产妇第一以及第二产程时间,但是可以进一步降低产妇剖宫产率,减轻产妇分娩疼痛,且对产后出血以及新生儿无不良影响,更有利于提高产妇分娩满意度。Objective:To study the clinical effectiveness of epidural labor analgesia by ultrasound-guided median approach.Methods:100 maternal cases admitted to the hospital from January 2020 to December 2021 were selected for the study and were divided into a control group(n=50)and a study group(n=50)using the random number table method.Epidural labor analgesia and epidural labor analgesia by ultrasound-guided median approach were administered respectively.The duration of labor,mode of delivery,pain level,2-h postpartum bleeding,neonatal 1 min Apgar score,satisfaction and adverse effects were observed and compared between the groups.Results:The first stage of labor was significantly longer in the study group than in the control group,and the second stage of labor was significantly longer than in the control group,with statistically significant differences(t=2.758,8.653,P<0.05).The composition ratio of the number of transvaginal deliveries was higher in the study group than in the control group,and the composition ratio of the number of cesarean deliveries was lower than in the control group,with statistically significant differences(χ^(2)=6.139,4.574,P<0.05).The results of the comparison of the observations at full opening of the uterus in both groups and the comparison of the observations after delivery showed that the VAS scores were significantly lower in the study group than in the control group,with statistically significant differences(t=17.455,8.384,P<0.05).The results of the comparison of maternal delivery satisfaction observations between the two groups showed that the study group scored significantly higher than the control group,and the difference was statistically significant(t=8.564,P<0.05).Conclusion:Although epidural labor analgesia by ultrasound-guided median approach may prolong the first and second stage of labor to a certain extent,it can further reduce the rate of cesarean section and labor pain,and has no adverse effects on postpartum hemorrhage and the newborn,with fewer adverse effects,which is more

关 键 词：超声引导 正中入路 硬膜外分娩镇痛 产程 剖宫产率 疼痛 满意度 不良反应 

分 类 号：R714[医药卫生—妇产科学]