潜伏期椎管内阻滞麻醉分娩镇痛的临床效果评估与对自然分娩的促进作用分析  

Evaluation of Clinical Effects of Latent Intrathecal Block Anesthesia for Labor Analgesia and Analysis of the Promotion of Natural Delivery

作　　者：杨青 YANG Qing(The Second People's Hospital of Baiyin,Gansu Province,Baiyin 730900,Gansu,China)

机构地区：[1]甘肃省白银市第二人民医院,甘肃白银730900

出　　处：《系统医学》2024年第16期60-63,共4页Systems Medicine

摘　　要：目的 评估潜伏期椎管内阻滞麻醉在分娩镇痛中的临床效果,并分析其对自然分娩的促进作用。方法回顾性选取2022年1月—2023年10月甘肃省白银市第二人民医院收治的200例行椎管内阻滞麻醉分娩镇痛产妇的临床资料,根据镇痛时机的不同分为潜伏组和活跃组,每组100例,潜伏组在分娩的潜伏期进行麻醉操作,活跃组在活跃期进行操作。对比两组麻醉效果。结果 潜伏组的第一、第二、第三产程均显著短于活跃组,差异有统计学意义(P均<0.05)。两组新生儿出生后1、5、10 min的Apgar评分比较,差异无统计学意义(P均>0.05)。潜伏组的不良反应发生率为5.00%(5/100),低于活跃组的13.00%(13/100),差异有统计学意义(χ^(2)=3.907,P<0.05)。潜伏组的自然分娩率高于活跃组,差异有统计学意义(P<0.05)。结论 潜伏期椎管内阻滞麻醉在分娩镇痛中显示出良好的临床效果,可以缩短产程,降低不良反应发生率,提高自然分娩率,且对新生儿的Apgar评分无不良影响。Objective To evaluate the clinical effect of latent intraspinal block anesthesia in labor analgesia and to analyze its promoting effect on natural labor.Methods Clinical data of two hundred parturiental parturiency patients undergoing intraspinal block anesthesia for labor and analgesia treated in The Second People's Hospital of Baiyin,Gansu Province from January 2022 to October 2023 were retrospectively selected,and they were divided into latent group and active group according to different timing of analgesia,with one hundred cases in each group.The latent group underwent anesthesia during the incubation period of labor,while the active group underwent anesthesia during the active period.The anesthetic effect of the two groups was compared.Results The first,second and third stages of labor in latent group were significantly shorter than those in active group,and the differences were statistically significant(all P<0.05).There was no significant difference in Apgar scores 1,5 and 10 min after birth between the two groups(all P>0.05).The incidence of adverse reactions in latent group was 5.00%(5/100),lower than 13.00%(13/100) in active group,and the difference was statistically significant(χ^(2)=3.907,P<0.05).The natural delivery rate of the latent group was higher than that of the active group,and the difference was statistically significant(P<0.05).Conclusion Latent intra-vertebral block anesthesia shows good clinical effect in labor analgesia,can shorten labor,reduce the incidence of adverse reactions,increase the rate of natural delivery,and has no adverse effect on neonatal Apgar score.

关 键 词：椎管内阻滞麻醉 分娩镇痛 自然分娩 临床效果 

分 类 号：R714.3[医药卫生—妇产科学]