连续硬膜外阻滞分娩镇痛联合产程管理对母婴的影响

发布时间：2018-05-20 18:25

本文选题：硬膜外分娩镇痛 + 产程管理　；参考：《现代妇产科进展》2017年05期

【摘要】：目的:研究硬膜外分娩镇痛配合积极产程管理对分娩结局的影响。方法:选取2015年1至12月在新疆石河子妇幼保健院住院分娩的172例单胎足月孕妇,其中72例行连续硬膜外分娩镇痛配合积极产程管理(观察组),100例采取常规分娩(对照组)。结果:观察组产妇镇痛后各时间点数字评分法(NRS)评分均较对照组降低,差异有统计学意义(P0.05),镇痛起效时间(10.5±6.4)min。两组的活跃期及二产程时间、新生儿Apgar评分、出血量均无显著差异(P0.05);观察组的缩宫素使用率高于对照组(P0.05),剖宫产率低于对照组(P0.05)。结论:硬膜外分娩镇痛配合积极产程管理,镇痛效果确切,不延长产程,可降低剖宫产率,对母婴安全。
[Abstract]:Objective: to study the effect of epidural analgesia combined with active labor process management on labor outcome. Methods: 172 single term pregnant women who were delivered in Shihezi Maternal and Child Health Hospital of Xinjiang from January to December 2015 were selected, of which 72 cases received continuous epidural analgesia combined with active labor process management (observation group, 100 cases) were given routine delivery (control group, 100 cases). Results: the scores of NRSs in the observation group were significantly lower than those in the control group (P 0.05), and the analgesic effect time was 10.5 卤6.4 min. There was no significant difference between the two groups in the active period, the second stage of labor, the Apgar score of newborn and the amount of bleeding, but the rate of oxytocin utilization in the observation group was higher than that in the control group (P 0.05), and the rate of cesarean section was lower than that in the control group (P 0.05). Conclusion: epidural labor analgesia combined with active labor process management has definite analgesic effect and can reduce cesarean section rate and be safe for mother and child without prolonging labor process.
【作者单位】：新疆石河子妇幼保健院;
【基金】：新疆兵团第八师人才专项基金项目(No:20161505) 新疆兵团第八师科技计划项目(No:2016HZ33)
【分类号】：R714.3

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