气囊仿生助产与自控硬膜外麻醉应用于产科的临床观察

发布时间：2018-05-18 05:24

本文选题：自控硬膜外麻醉 + 气囊仿生助产　；参考：《临床医学》2016年09期

【摘要】：目的探讨气囊仿生助产与自控硬膜外麻醉应用于产科的临床效果。方法选取2013年4月至2015年4月128例初产妇,根据产妇自愿选择的原则,将其分为观察组和对照组,其中观察组64例给予气囊仿生助产术联合自控硬膜外麻醉进行分娩;对照组64例,自然临产不采用任何医疗干预措施。比较两组产妇的镇痛效果、产程、分娩方式以及母婴结果。结果观察组产妇在分娩开始30 min、1 h后的镇痛效果明显优于对照组,差异有统计学意义(P0.05)。观察组产妇产程的活跃期、第二产程顺产率、剖宫产率和新生儿窒息率等均优于对照组,差异有统计学意义(P0.05),两组第三产程、产后出血量比较差异未见统计学意义(P0.05)。结论气囊仿生助产联合自控硬膜外麻醉,可有效减轻分娩疼痛,缩短产程,提高阴道分娩率,降低剖宫产率,且对产妇和新生儿的影响小,安全可靠,具有重要的临床应用价值。
[Abstract]:Objective to investigate the clinical effect of balloon bionic midwifery and self-controlled epidural anesthesia in obstetrics. Methods 128 primiparae from April 2013 to April 2015 were divided into observation group and control group according to the principle of voluntary choice of puerpera. 64 cases in observation group were given pneumatic bionic midwifery combined with self-controlled epidural anesthesia for delivery. In the control group, 64 cases of spontaneous labor were not treated with any medical intervention. The analgesic effect, labor process, delivery mode and maternal and infant outcome were compared between the two groups. Results the analgesic effect of the observation group was significantly better than that of the control group 30 min after delivery and the difference was statistically significant (P 0.05). The active stage, the second stage of labor, the rate of cesarean section and the rate of neonatal asphyxia in the observation group were better than those in the control group, and the difference was statistically significant (P 0.05). There was no significant difference between the two groups in the third stage of labor and the amount of postpartum hemorrhage. Conclusion Balloon bionic midwifery combined with self-controlled epidural anesthesia can effectively reduce labor pain, shorten labor process, increase vaginal delivery rate, reduce cesarean section rate, and have little effect on parturient and newborn, and it is safe and reliable. It has important clinical application value.
【作者单位】：河南省宜阳县妇幼保健院妇产科;
【分类号】：R473.71

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