摘要
目的分析潜伏期行椎管内阻滞麻醉分娩镇痛对产妇妊娠结局与新生儿预后的影响。方法选取开封市妇产医院在2017年9月—2018年10月期间进行麻醉镇痛分娩的产妇86例做为本次研究对象,随机分为例数对等的研究组和参照组,在接受常规椎管内阻滞麻醉镇痛分娩的基础上,研究组产妇在潜伏期(宫口扩张至1~2cm)开始麻醉治疗,参照组在活跃期(宫口扩张至不少于3cm)开始麻醉治疗。比较两组在宫口开始扩张时视觉模拟疼痛评分、产程时间、分娩结局以及围产儿结局。结果研究组的疼痛视觉模拟评分低于参照组,第一与第二产程时间明显少于参照组,分娩结局、围产儿结局明显优于参照组,差异有统计学意义(P<0.05)。结论潜伏期行椎管内麻醉分娩镇痛能明显缩短产妇生产时间,有助于减轻分娩痛苦,促进分娩的顺利进行,降低剖宫产率,同时改善产妇妊娠和围产儿结局,有利于新生儿预后。
Objective To analyze the effect of intramedullary anesthesia and labor analgesia in incubation period on pregnancy outcome and neonatal prognosis of parturient.Methods 86 parturients who received anaesthesia and analgesia delivery from September,2017 to October,2018 in the hospital were randomly divided into study group and reference group with equal number of cases. On the basis of routine spinal canal block anesthesia and labor analgesia,the study group began anaesthesia during incubation period (dilatation to 1~2cm)and anaesthesia at active stage(dilatation to no less than 3cm)in the control group.The visual analogue pain, duration of labor,delivery outcome and perinatal outcome between the two groups at the beginning of dilatation of the uterine were compared.Results The visual analogue score of pain in the study group was lower than that in the control group.The time of the first and second stage of labor was significantly shorter than that of the control group.And the outcome of delivery and perinatal outcome were significantly better than those of the reference group(P<0.05).Conclusion Intra-spinal anaesthesia for labor analgesia in latent period can significantly shorten the labor time,alleviate labor pain,promote the smooth progress of labor,reduce the rate of cesarean section,and improve the pregnancy and perinatal outcome.It is beneficial to the prognosis of newborns.
作者
周婷
ZHOU Ting(Department of Anesthesiology,Kaifeng Gynecology Hospital,Kaifeng,Henan,475000,China)
出处
《黑龙江医学》
2019年第7期749-750,共2页
Heilongjiang Medical Journal
关键词
潜伏期
椎管内阻滞麻醉
分娩镇痛
产妇
新生儿
Incubation period
Spinal canal block anesthesia
Labor analgesia
Parturient
Newborn
