摘要
目的探讨潜伏期硬膜外分娩镇痛的效果及对母婴的影响。方法选择符合条件的初产妇150例,其中潜伏期实施镇痛者(A组)81例,活跃期实施镇痛者(B组)69例,常规措施助产者(对照组)54例。比较各组的分娩方式、产程、缩宫素使用情况、产后出血量、胎儿宫内窘迫发生率及新生儿Apgar评分等的差异。结果A组潜伏期较对照组显著缩短(P<0.05),A、B两组缩宫素使用率明显高于对照组(P<0.05),A、B两组内比较差异均无统计学意义(P>0.05);A、B两组阴道自然分娩率和剖宫产率与对照组比较,有显著性差异(P<0.05);产钳助产率和产后出血、尿潴留、新生儿体重、新生儿Apgar评分等情况与对照组比较,差异无显著性(P>0.05)。结论潜伏期分娩镇痛效果确切,未增加对母婴的影响,是分娩期切实可行的镇痛方法。
Objective To investigate the outcome of labor analgesia at latent phase and its influence on mothers and fetus. Methods A total of 150 nulliparities were enrolled in the present study and were classified into 3groups：group A（ n =81 ） received labor analgesia at the latent phase, group B（ n =69） received labor analgesia at active phase, and control group （ n = 54） received routine treatment. The mode of delivery, duration of the labor, application of oxytocin, postpartum hemorrhage, intrauterine distress and Apgar score were compared between the 3 groups. Results The latent phase of group A was significantly shorter than that of control group（ P 〈0.05）. The incidences of oxytocin application in group A and B were obviously higher than that in the control group（ P 〈0.05）, and no statistical difference was found between group A and group B. The rates of vaginal normal delivery and cesarean section in group A and B were significant different from that of control group（ P 〈0.05）, and no significant differences were found in the rate of forceps birth, postpartum hemorrhage, urinary retention, weight of newborns, Apgar score be- tween group A, B and control group. Conclusion Labor analgesia at latent phase has exact effect and has no side-effect to the mother and fetus.
出处
《解放军护理杂志》
2007年第09B期10-11,68,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
潜伏期
分娩镇痛
全程陪产
latent phase
labor analgesia
accompanied delivery during the entire labor process
