硬膜外自控分娩镇痛对分娩结局及新生儿脐动脉 血气、乳酸的影响研究  

Effect of controlled epidural analgesia on delivery outcome,blood gas and lactic acid in umbilical artery of newborn

作　　者：张钦 唐冬梅 陶学有[1] Zhang Qin;Tang Dongmei;Tao Xueyou(Department of Anesthesiology,Baoying Maternal and Child Health Hospital,Yangzhou University,Yangzhou 225000,China)

机构地区：[1]扬州大学医学院,宝应县妇幼保健院麻醉科,江苏扬州225000

出　　处：《实用妇科内分泌电子杂志》2023年第26期86-88,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究硬膜外自控分娩镇痛对分娩结局、新生儿脐动脉血气、乳酸等影响。方法选取80名分娩产妇,根据产妇产程中有无行硬膜外自控分娩镇痛分为观察组(41名)和对照组(39名)。观察组采用硬膜外自控分娩镇痛方式,对照组采用自然分娩无镇痛处理。对比两组产妇的分娩结局、新生儿脐动脉血气和乳酸情况。结果观察组未出现难产,对照组难产发生率为10.26%,观察组出血发生率为2.44%,对照组为15.38%,比较差异有统计学意义(P<0.05);观察组新生儿窒息率为2.44%,对照组为5.13%,差异无统计学意义(P>0.05)。观察组的新生儿脐动脉血气、乳酸情况比对照组更优,差异有统计学意义(P<0.05)。观察组的新生儿脐动脉血气、乳酸情况比对照组更优,差异有统计学意义(P<0.05)。结论对分娩产妇采用硬膜外自控分娩镇痛的方式,能提升分娩结局,优化新生儿的脐动脉血气指标、乳酸情况,值得临床推荐。Objective To study the effects of controlled epidural analgesia on delivery outcomes,blood gas and lactic acid in neonatal umbilical artery.Methods 80 parturients were divided into observation group(41 parturients)and control group(39 parturients)according to the presence or absence of epidural controlled analgesia during labor.The observation group received epidural controlled labor analgesia,and the control group received natural labor without analgesia.The outcomes of delivery,blood gas and lactic acid of newborn umbilical artery were compared between the two groups.Results There was no dystocia in the observation group,the incidence of dystocia in the control group was 10.26%,The incidence of hemorrhage was 2.44%in the observation group and 15.38%in the control group,and the difference was statistically significant(P<0.05).The neonatal asphyxia rate was 2.44%in the observation group and 5.13%in the control group,with no statistical significance(P>0.05).The condition of blood gas and lactic acid in umbilical artery of newborn in observation group was better than that in control group,the difference was statistically significant(P<0.05).The blood gas and lactic acid of umbilical artery in the observation group were better than those in the control group,and the difference was statistically significant(P<o.o5).Conclusion Epidural controlled analgesia can improve the outcome of labor,optimize the blood gas index of umbilical artery and lactic acid of newborn,and is worthy of clinical recommendation.

关 键 词：硬膜外自控 分娩镇痛 分娩结局 脐动脉血气 乳酸 

分 类 号：R714.3[医药卫生—妇产科学]