持续硬膜外麻醉应用于临产孕妇的分娩镇痛效果及其对妊娠结局的影响

发布时间：2019-03-24 13:56

【摘要】：目的:探讨持续硬膜外麻醉应用于临产孕妇的分娩镇痛效果及其对妊娠结局的影响,为更好的开展硬膜外分娩镇痛提供依据。方法:将600例产妇随机分为镇痛组和对照组,每组300例,镇痛组实行持续性硬膜外分娩镇痛,对照组常规分娩处理。观察并记录两组镇痛效果、产程时间、缩宫素使用情况、分娩方式、产妇不良反应和新生儿情况。结果:镇痛组镇痛效果明显优于对照组,差异有统计学意义(P0.05);镇痛组妊娠时活跃期、第二产程和总产程较对照组均有所延长,差异均有统计学意义(P0.05),第三产程时间比较差异无统计学意义(P0.05);镇痛组催产素使用率明显高于对照组,差异有统计学意义(P0.05),镇痛组尿潴留发生率较对照组高,差异有统计学意义(P0.05);两组产妇产后出血情况比较差异无统计学意义(P0.05),镇痛组孕妇剖宫产率、新生儿窒息率和胎儿宫内窘迫率均低于对照组,差异均有统计学意义(P0.05)。结论:持续硬膜外麻醉应用于临产孕妇的分娩镇痛能减轻分娩疼痛,降低新生儿窒息率,改善孕妇的分娩结局,但有延长产程,造成尿潴留的危险。
[Abstract]:Aim: to investigate the effect of continuous epidural anesthesia on labor analgesia in parturient pregnant women and its effect on pregnancy outcome in order to provide evidence for better development of epidural analgesia in labor. Methods: 600 parturients were randomly divided into analgesic group and control group with 300 cases in each group. The analgesic group was given continuous epidural analgesia and the control group was treated with routine delivery. The analgesic effect, duration of labor, usage of oxytocin, mode of delivery, side effects of parturient and neonatal condition were observed and recorded. Results: the analgesic effect of the analgesia group was significantly better than that of the control group, the difference was statistically significant (P0.05). The active period of pregnancy, the second stage of labor and the total stage of labor in the analgesic group were longer than those in the control group, the difference was statistically significant (P0.05), and there was no significant difference in the third stage of labor time (P0.05); The utilization rate of oxytocin in the analgesic group was significantly higher than that in the control group (P0.05). The incidence of urinary retention in the analgesic group was higher than that in the control group (P0.05). There was no significant difference in postpartum hemorrhage between the two groups (P0.05). The cesarean section rate, neonatal asphyxia rate and fetal distress rate in the analgesia group were significantly lower than those in the control group (P0.05). Conclusion: continuous epidural anesthesia can relieve labor pain, reduce the rate of neonatal asphyxia and improve the outcome of labor, but it can prolong the labor process and lead to the risk of urine retention.
【作者单位】：南方医科大学附属深圳妇幼保健院;
【分类号】：R714.3

【相似文献】