椎管内分娩镇痛对妊娠结局的影响分析  

Effect analysis of intraspinal labor analgesia on pregnancy outcome

作　　者：赖春华 LAI Chun-hua(Ganxian District Maternal and Child Health Hospital,Ganzhou 341100,China)

机构地区：[1]赣州市赣县区妇幼保健院,341100

出　　处：《中国现代药物应用》2024年第14期123-126,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨椎管内分娩镇痛对妊娠结局的影响。方法选取100例孕产妇,经随机数字表法分为对照组与实验组,每组50例。对照组采用常规分娩方式,实验组采用椎管内分娩镇痛方式。比较两组孕产妇的分娩时间、剖宫产率、会阴侧切率、产后出血量、视觉模拟评分法(VAS)评分、母婴满意度评分。结果实验组孕产妇的分娩时间(165.45±38.78)min显著短于对照组的(198.55±45.36)min,剖宫产率16.0%和会阴侧切率24.0%显著低于对照组的36.0%、48.0%(P<0.05)。两组孕产妇的产后出血量比较,无明显差异(P>0.05)。实验组孕产妇负荷剂量注入后30、60、90、120 min及分娩后30 min的VAS评分分别为(1.82±0.93)、(1.72±1.06)、(1.65±1.13)、(1.52±1.26)、(2.44±1.46)分,均显著低于对照组的(6.73±1.54)、(6.53±1.65)、(6.44±1.75)、(6.33±1.82)、(5.95±1.96)分,母婴满意度评分(4.66±0.57)分显著高于对照组的(3.22±0.76)分(P<0.05)。结论椎管内分娩镇痛是一种有效且安全的分娩镇痛方式,能够减轻产妇的疼痛和焦虑,降低剖宫产率和会阴侧切率,不影响新生儿的健康,建议在符合条件的情况下推广应用。Objective To explore the effect of intraspinal labor analgesia on pregnancy outcome.Methods 100 cases of pregnant women were selected and divided into a control group and an experimental group by randomized numerical table method,with 50 cases in each group.The control group used conventional delivery method,and the experimental group used intrathecal labor analgesia.The delivery time,cesarean section rate,lateral perineal incision rate,postpartum hemorrhage,visual analog scale(VAS)score,and maternal and infant satisfaction scores of the two groups were compared.Results The delivery time of the experimental group was(165.45±38.78)min,which was significantly shorter than(198.55±45.36)min of the control group;the experimental group had cesarean section rate of 16.0%and lateral perineal resection rate of 24.0%,which were significantly lower than 36.0%and 48.0%in the control group(P<0.05).There was no significant difference in postpartum blood loss between the two groups(P>0.05).VAS scores of 30,60,90,120 min after loading dose injection and 30 min after delivery were(1.82±0.93),(1.72±1.06),(1.65±1.13),(1.52±1.26)and(2.44±1.46)points,which were significantly lower than(6.73±1.54),(6.53±1.65),(6.44±1.75),(6.33±1.82)and(5.95±1.96)points in the control group;the maternal and infant satisfaction scores was(4.66±0.57)points in the experimental group,which was significantly higher than(3.22±0.76)points in the control group(P<0.05).Conclusion Intraspinal labor analgesia is an effective and safe way of labor analgesia,which can relieve the pain and anxiety of the parturient,reduce the rate of cesarean section and lateral perineal incision,and does not affect the health of the neonates.So it is recommended to promote its application under the conditions.

关 键 词：分娩镇痛 椎管内镇痛 妊娠结局 疼痛评分 麻醉管理 

分 类 号：R714.3[医药卫生—妇产科学]