摘要
目的探讨硬膜外分娩镇痛对降低剖宫产率的效果。方法选取广州花都时代妇产医院2017年8月到2018年5月收治的512例产妇,将其随机分为两组各256例,对照组采用常规分娩方式,观察组采用硬膜外镇痛分娩方式,比较两组产妇剖宫产和新生儿窒息发生情况,采用视觉模拟评分法(VAS)分析两组产妇分娩期间的疼痛程度。结果观察组剖宫产率(4.30%)和新生儿窒息发生率(3.91%)均低于对照组的剖宫产率(23.05%)和新生儿窒息发生率(8.20%),差异有统计学意义(P<0.05);观察组产妇VAS评分(1.65±0.63)分小于对照组的(5.31±2.87)分,差异有统计学意义(P<0.05)。结论硬膜外分娩镇痛可有效降低产妇剖宫产率,改善新生儿窒息发生情况,减轻产妇分娩疼痛感,值得推广。
Objective To investigate the effect of epidural labor analgesia on reducing cesarean section rate.Methods Selection of guangzhou huadu era maternity hospital in August 2017 to May 2017 treated 512 cases of maternal,its each 256 cases randomly divided into two groups,control group using conventional childbirth way,observation group with epidural analgesia childbirth way,comparing two groups of cesarean section and neonatal asphyxia,maternal by using visual analogue scale(VAS)analysis of two groups of maternal level of pain during labor.Results The cesarean section rate(4.30%)and neonatal asphyxia rate(3.91%)in the observation group were lower than those in the control group(23.05%)and neonatal asphyxia rate(8.20%),with statistically significant differences(P<0.05).The VAS score of the observation group(1.65±0.63)was lower than that of the control group(5.31±2.87),and the difference was statistically significant(P<0.05).Conclusion Epidural labor analgesia can effectively reduce maternal cesarean section rate,improve the incidence of neonatal asphyxia,reduce maternal labor pain,worthy of promotion.
作者
张河源
钟丽珍
ZHANG He-yuan;ZHONG Li-zhen(Department of Anesthesia,Guangzhou Huadu Times Maternity Hospital,Guangzhou 510800,Guangdong Province,China)
出处
《罕少疾病杂志》
2019年第6期60-61,111,共3页
Journal of Rare and Uncommon Diseases
关键词
硬膜外分娩镇痛
剖宫产率
新生儿窒息
疼痛
Epidural Labor Analgesia
Cesarean Section Rate
Neonatal Asphyxia
The Pain
