持续镇痛分娩对产妇分娩结局和新生儿评分的影响  

The impact of continuous analgesic delivery on the delivery outcomes of parturients and neonatal scores

作　　者：孙聂 黄海波 Sun Nie;Huang Haibo(Department of Obstetrics and Gynecology,Danyang Maternal and Child Health Hospital,Zhenjiang 212300,China)

机构地区：[1]丹阳市妇幼保健院妇产科,江苏镇江212300

出　　处：《实用妇科内分泌电子杂志》2023年第34期51-53,66,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨持续镇痛分娩对产妇分娩结局以及新生儿评分的影响。方法选取本院120例分娩产妇为研究对象,以随机数字表法分为n=60的两组。对照组在出现规律宫缩后给予镇痛,并在第二产程时停止镇痛,探讨组予以持续镇痛分娩,比较两组的分娩方式、产程用时、产妇与新生儿健康状况。结果探讨组产妇的自然分娩率95.00%、剖宫产率3.33%、阴道助产率1.67%分别与对照组的88.33%、6.67%、5.00%比较,差异无统计学意义(P>0.05)。与对照组相比,探讨组会阴修复时视觉模拟评分法(VAS)评分更低、产后2h出血量更少、泌乳开始时间更短、产后3d母乳喂养次数则更多(P<0.05)。探讨组产妇的第一、第二产程及第一产程镇痛时间各为(283.41±31.08)min、(43.16±6.41)min、(270.52±28.87)min,分别与对照组的(281.47±30.52)min、(42.47±6.13)min、(266.28±28.52)min比较,差异无统计学意义(P>0.05)。两组新生儿出生1min、5min的Apgar评分比较,差异无统计学意义(P>0.05)。结论持续镇痛分娩对产妇的分娩方式选择、产程用时、新生儿健康状况等均无显著影响,但可以促进产妇产后恢复,值得推广。Objective To explore the impact of continuous analgesia delivery on the delivery outcomes of parturients and neonatal scores.Methods 120 postpartum women in our hospital were selected as the research subjects and divided into two groups using a random number table method,with 60 cases in each group.The control group received pain relief after regular contractions and stopped pain relief during the second stage of labor.The study group received continuous pain relief during delivery,and the delivery methods,duration of labor,and health status of the mother and newborn were compared between the two groups.Results The natural delivery rate of 95.00%,cesarean section rate of 3.33%and vaginal delivery rate of 1.67%in the study group were compared with 88.33%,6.67%and 5.00%in the control group,respectively,with no statistical significance(P>0.05).Compared with the control group,the study group had lower visual analogue scale(VAS)score during perineal repair,less blood loss at 2 h postpartum,shorter lactation start time,and more breastfeeding times at 3 days postpartum(P<0.05).The analgesic time of the first,second and first stages of labor were(283.41±31.08)min,(43.16±6.41)min,(270.52±28.87)min,respectively.There was no significant difference between the two groups(281.47±30.52)min,(42.47±6.13)min and(266.28±28.52)min,respectively(P>0.05).There was no significant difference in Apgar score between the two groups at 1 min and 5 min after birth(P>0.05).Conclusion Continuous analgesia delivery has no significant impact on the choice of delivery method,duration of labor,and newborn health status of parturients,but it can promote postpartum recovery and is worth promoting.

关 键 词：持续镇痛分娩 产妇 分娩结局 新生儿评分 

分 类 号：R714.3[医药卫生—妇产科学]