低位水囊引产联合硬膜外分娩镇痛提高产妇经阴道分娩率的效果  

The effect of low position water bag induced abortion combined with epidural analgesia on improving the vaginal delivery rate of parturients

作　　者：陈娟奇[1] 曹馨元 蒋海平 Chen Juanqi;Cao Xinyuan;Jiang Haiping(Department of Obstetrics and Gynecology,Binhai County People's Hospital,Yancheng 224500,China)

机构地区：[1]滨海县人民医院妇产科,江苏盐城224500

出　　处：《实用妇科内分泌电子杂志》2024年第5期30-32,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨低位水囊引产联合硬膜外分娩镇痛提高产妇经阴道分娩率的效果。方法选取本院56例足月分娩产妇为研究对象,随机分为两组,各28例。对照组采用硬膜外分娩镇痛,试验组采用低位水囊引产联合硬膜外分娩镇痛,比较两组的产程用时、产后出血量、母婴不良结局及分娩情况。结果试验组第一产程、总产程用时短于对照组,产后24h出血量少于对照组,差异有统计学意义(P<0.05);试验组母婴不良结局发生率为3.57%,低于对照组的21.43%,差异有统计学意义(P<0.05);试验组经阴道分娩率为75.00%,高于对照组的57.14%,差异有统计学意义(P<0.05)。结论联合应用低位水囊引产与硬膜外分娩镇痛可以有效缩短产程,降低产后出血和母婴不良结局风险,提高经阴道分娩率。Objective To explore the effect of low position water bag induced abortion combined with epidural analgesia on improving the vaginal delivery rate of parturients.Methods 56 full-term postpartum women in our hospital were selected as the research subjects and randomly divided into two groups,with 28 cases in each group.The control group received epidural labor analgesia,while the experimental group received a combination of low position water bag induced labor and epidural labor analgesia.The duration of labor,postpartum hemorrhage,adverse maternal and infant outcomes,and delivery status were compared between the two groups.Results The first and total stages of labor in the experimental group were shorter than those in the control group,and the amount of postpartum bleeding at 24 hours was less than that in the control group,with a statistically significant difference(P<0.05);The incidence of adverse maternal and infant outcomes in the experimental group was 3.57%,lower than the control group's 21.43%,and the difference was statistically significant(P<0.05);The vaginal delivery rate in the experimental group was 75.00%,which was higher than the control group's 57.14%,and the difference was statistically significant(P<0.05).Conclusion The combination of low position water bag induced abortion and epidural analgesia can effectively shorten the labor process,reduce the risk of postpartum hemorrhage and adverse maternal and infant outcomes,and improve the rate of vaginal delivery.

关 键 词：低位水囊引产 硬膜外分娩镇痛 经阴道分娩率 

分 类 号：R714.3[医药卫生—妇产科学]