双管法镇痛对胎头位置异常产妇分娩结局的影响

发布时间：2018-01-22 19:33

本文关键词： 双管法硬脊膜外镇痛胎头位置异常分娩结局分娩方式　出处：《中国现代医学杂志》2017年21期 　论文类型：期刊论文

【摘要】：目的探讨双管法硬脊膜外镇痛对胎头位置异常产妇分娩结局及分娩方式的影响。方法选取2015年9月-2016年6月该院产科进行阴道试产的127例胎头位置异常产妇进前瞻性行研究,采用随机数字表法分为单管组、双管组,63例采用单管法硬脊膜外镇痛(单管组)、64例采用双管法硬脊膜外镇痛(双管组),对比两组的分娩结局及分娩方式。结果双管组的阴道分娩率64.06%高于单管组的46.04%(P0.05);双管组的剖宫产率23.44%和缩宫素使用率60.94%低于单管组的41.27%和90.48%,差异均有统计学意义(P0.05);两组阴道分娩产妇分娩镇痛前的宫口大小、第三产程差异无统计学意义(P0.05);双管组的第一、第二产程均低于单管组,差异有统计学意义(P0.05);两组产妇的产后出血量、尿潴留发生率差异无统计学意义(P0.05)。两组产妇的两组新生儿体重、第1及5分钟的Apgar评分差异无统计学意义(P0.05)。结论双管法硬脊膜外镇痛有利于提高胎头位置异常产妇阴道分娩率,同时缩短产程。
[Abstract]:Objective to investigate the effect of double tube epidural analgesia on the delivery outcome and delivery mode of women with abnormal position of fetal head. Methods 127 cases of vaginal labor were performed in our hospital from September 2015 to June 2016. Prospective study of abnormal cephalic position of parturient. 63 cases of double tube group were treated with single tube epidural analgesia. 64 cases of single tube group were treated with double tube method for epidural analgesia (double tube group). Results the vaginal delivery rate in the double tube group was 64.06% higher than that in the single tube group (46.04). The cesarean section rate (23.44%) and oxytocin utilization rate (60.94%) in the double tube group were lower than those in the single tube group (41.27% and 90.48), and the difference was statistically significant (P 0.05). There was no significant difference in the size of uterine orifice before labor analgesia between the two groups, and there was no significant difference in the third stage of labor between the two groups (P 0.05). The first and second stages of labor in the double tube group were lower than those in the single tube group, and the difference was statistically significant (P 0.05). There was no significant difference in the incidence of postpartum hemorrhage and urinary retention between the two groups (P 0.05). There was no significant difference in Apgar score between the first and fifth minute. Conclusion the double tube epidural analgesia is helpful to improve the vaginal delivery rate and shorten the labor process of women with abnormal position of fetal head.
【作者单位】：四川省成都市妇女儿童中心医院;
【分类号】：R714.4
【正文快照】： 组别例数年龄/岁体重/kg孕周/周单管组63 28.7±5.2 82.0±6.9 38.8±1.1双管组64 29.1±5.6 83.1±5.4 39.0±1.2t值0.417 1.001 0.979P值0.627 0.308 0.329表1两组孕妇的一般资料(x±s)产妇分娩时伴有疼痛易使其产生烦躁、焦虑的情绪,产妇不仅要面临强烈产痛带来的身心痛苦,

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