会阴双侧阻滞麻醉对分娩结局的影响

发布时间：2018-03-04 10:08

本文选题：会阴双侧阻滞麻醉　切入点：分娩结局　出处：《北方药学》2016年11期 　论文类型：期刊论文

【摘要】：目的:探讨会阴双侧阻滞麻醉对分娩结局的影响。方法:选取2014年5月~2016年5月在医院住院分娩的90例初产妇作为此次研究对象,随机分为观察组与对照组,每组45例,对照组进行常规自然分娩,观察组进行会阴双侧阻滞麻醉后分娩,分析比较两组产妇疼痛程度、产程和各项指标及分娩结局。结果:观察组疼痛程度明显低于对照组,两组之间差异显著,具有统计学意义(P0.05);两组产程和出血量差异不明显,无统计学意义(P0.05);观察组VAS评分和心率情况明显好于对照组,两组之间差异显著,具有统计学意义(P0.05);观察组会阴裂伤率和产褥感染率均明显低于对照组,组间差异具有统计学意义(P0.05);观察组新生儿窒息发生率明显低于对照组,两组之间差异显著,具有统计学意义(P0.05);观察组的侧切率(6.67%)明显低于对照组(17.78%),组间差异具有统计学意义(P0.05)。结论:初产妇进行会阴双侧阻滞麻醉后,疼痛明显减轻,提高了分娩成功率。
[Abstract]:Objective: to investigate the effect of bilateral perineal block anesthesia on the outcome of labor. Methods: 90 primiparas who were hospitalized in hospital from May 2014 to May 2016 were selected as the study objects, and were randomly divided into observation group and control group with 45 cases in each group. The normal natural delivery was performed in the control group, and the pain degree, labor process, labor indexes and delivery outcome in the observation group were compared with those in the control group after bilateral perineal block anesthesia. Results: the pain degree of the observation group was significantly lower than that of the control group. There was significant difference between the two groups (P 0.05), there was no significant difference in birth process and blood loss between the two groups (P 0.05). The VAS score and heart rate in the observation group were significantly better than those in the control group, and the difference between the two groups was significant. The rate of perineum laceration and puerperal infection rate in the observation group were significantly lower than those in the control group, and the difference between the two groups was statistically significant (P 0.05), the incidence of neonatal asphyxia in the observation group was significantly lower than that in the control group, and the difference between the two groups was significant. The side cut rate of the observation group was significantly lower than that of the control group (P 0.05), and the difference between the two groups was statistically significant (P 0.05). Conclusion: the pain of parturient after bilateral perineum block was obviously alleviated and the success rate of delivery was improved.
【作者单位】：苏州市吴江区中医医院苏州市吴江区第二人民医院;
【分类号】：R714.3

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