硬膜外麻醉分娩镇痛对产妇的效果及对雌孕激素水平的影响  

Effect of Epidural Anesthesia on Labor Analgesia in Parturient Women and Influence on Estrogen Level

作　　者：陈鹏 陈小波 江建立 CHEN Peng;CHEN Xiaobo;JIANG Jianli(Department of Anesthesiology,Xingshan County People′s Hospital,Yichang 443711,Hubei,China;Department of Anesthesiology,Yichang Central People′s Hospital Xiling Campus,Yichang 443008,Hubei,China)

机构地区：[1]兴山县人民医院麻醉科,湖北宜昌443711 [2]宜昌市中心人民医院西陵院区麻醉科,湖北宜昌443008

出　　处：《系统医学》2024年第13期167-170,共4页Systems Medicine

摘　　要：目的评估硬膜外麻醉分娩镇痛的应用效果及对产妇雌孕激素水平的影响。方法非随机选取2022年10月—2023年10月兴山县人民医院的80名产妇,按是否采取镇痛措施分为两组,对照组(40名,不采取分娩镇痛措施)、观察组(40名,硬膜外麻醉分娩镇痛),比较两组视觉模拟评分(Visual Analogue Scale,VAS)、分娩方式、产程、Apgar评分、雌孕激素水平。结果T1、T2、T3时,观察组VAS[(2.90±0.22)分、(3.34±0.18)分、(2.30±0.33)分]低于对照组[(8.91±0.26)分、(8.82±0.21)分、(6.38±0.37)分],差异有统计学意义(t=111.603、125.308、52.047,P均<0.05)。两组分娩方式、产程、雌孕激素水平比较,差异无统计学意义(P均>0.05)。两组Apgar评分比较,差异无统计学意义(P>0.05)。结论对产妇实施硬膜外麻醉分娩镇痛,镇痛效果确切,不易改变雌孕激素水平,不影响产程、新生儿状况,不增加剖宫产率。Objective To evaluate the efficacy of epidural anesthesia application for labor analgesia and its effect on maternal estrogen and progesterone levels.Methods 80 parturients in the Xingshan County People's Hospital from Oc-tober 2022 to October 2023 were selected and divided into two groups according to whether or not took analgesic mea-sures,the control group(40,without labor analgesia measures)and the observation group(40,epidural anesthesia for labor analgesia),and the two groups were compared in terms of Visual Analogue Scale(VAS),mode of delivery,dura-tion of labor,Apgar score,and estrogen and progesterone levels were compared between the two groups.Results At T1,T2,and T3,VAS(2.90±0.22,3.34±0.18,2.30±0.33)in the observation group were lower than those in the control group(8.91±0.26,8.82±0.21,6.38±0.37),and the differences were statistically significant(t=111.603,125.308,and 52.047,all P<0.05).There was no statistically significant difference in the mode of delivery,duration of labor,and es-trogen and progesterone levels between the two groups(all P>0.05).There was no statistically significant difference in Apgar scores between the two groups(P>0.05).Conclusion Epidural anesthesia for parturients analgesia,analgesia ef-fect is accurate,do not change the level of estrogen,do not affect the labor process,neonatal conditions,and will not increase the rate of cesarean section.

关 键 词：硬膜外麻醉 分娩镇痛 产妇 雌孕激素 

分 类 号：R714[医药卫生—妇产科学]