自控硬膜外麻醉镇痛分娩对产程及胎儿的影响

发布时间：2018-01-13 15:27

本文关键词：自控硬膜外麻醉镇痛分娩对产程及胎儿的影响　出处：《中外女性健康研究》2016年15期 　论文类型：期刊论文

【摘要】：目的:探究自控硬膜外麻醉镇痛在分娩中对产程和胎儿的影响。方法:选择我院妇产科2015年1月至2015年12月收治的72例初产妇,根据分娩过程有无实施镇痛分为对照组和观察组,观察两组产妇的分娩效果和出血量,比较两组产妇产程各阶段的VAS评分、分娩方式、产后出血量及新生儿Apgar评分。结果:观察组产妇产程各阶段的VAS评分和总产程时间明显低于对照组(P0.05),具有统计学意义;观察组产妇阴道分娩率明显高于对照组,剖宫产率低于对照组(P0.05),在产后2h出血量及新生儿Apgar评分方面不存在显著性差异,不具有统计学意义。结论:在产妇的分娩过程中,采用自控硬膜外麻醉镇痛分娩可以提高产妇的自然分娩率,降低剖宫产率,镇痛效果确切,可有效缓解产妇的疼痛;根据产妇产程进展及时调整镇痛泵注药速度,可进一步缩短产妇的产程时间,减少难产、产后大出血等不良反应的发生,具有较好的控制性和安全性,值得在临床上推广使用。
[Abstract]:Objective: to investigate the effect of patient-controlled epidural anesthesia and analgesia on labor process and fetus during delivery. Methods: 72 cases of primipara were selected from January 2015 to December 2015 in our department of gynecology and obstetrics. According to whether or not the labor analgesia was performed, the control group and the observation group were divided into two groups. The delivery effect and bleeding volume of the two groups were observed, and the VAS score and delivery mode of each stage of labor were compared between the two groups. Results: the VAS score and total duration of labor in the observation group were significantly lower than those in the control group (P 0.05). The rate of vaginal delivery in the observation group was significantly higher than that in the control group, and the rate of cesarean section was lower than that in the control group (P 0.05). There was no significant difference in the amount of blood loss at 2 hours postpartum and the Apgar score of newborn. Conclusion: the spontaneous delivery rate of parturient can be increased and the rate of cesarean section can be reduced by using self-controlled epidural anesthesia in the process of parturition. It can effectively relieve the pain of parturient; According to the progress of labor, adjusting the speed of injecting analgesic pump in time can further shorten the time of delivery, reduce the occurrence of adverse reactions such as dystocia, postpartum hemorrhage and so on. It has good control and safety. It is worth popularizing in clinic.
【作者单位】：江苏省丹阳市第二人民医院;
【分类号】：R714.3
【正文快照】： 分娩是一个较为复杂的生理过程,分娩期间产道节律性收缩产生剧烈的疼痛感,严重疼痛会导致产妇体力下降[1],延长分娩时间,加大了胎儿宫内缺氧和产后大出血的可能。因此,选择合适的分娩镇痛方法对于减轻产妇疼痛、促进产程、减少产后出血量具有重要的意义[2]。本文在分娩过程中

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