摘要
目的:探讨硬膜外麻醉无痛分娩对产程进展、分娩方式及母婴健康的影响。方法:选择2017年1月—2018年12月60例初产妇,随机分为观察组和对照组,每组30例。观察组行硬膜外麻醉下经阴道分娩,对照组行自然阴道分娩。结果:观察组宫口从3 cm到开全时间(活跃期)和第二产程时间明显短于对照组,差异均有统计学意义(P<0.05);观察组剖宫产率为10.00%,对照组为23.33%,两组比较差异无统计学意义(P>0.05)。两组新生儿窒息率和产后出血率均为零。结论:硬膜外麻醉无痛分娩安全有效,可以有效地缩短第一产程中的活跃期和第二产程,同时不影响母婴安全。
Objective:To explore the effect of epidural anesthesia on the progress of labor,the mode of labor and the health of mother and child.Methods:All 60 primiparas from January 2017 to December 2018 were randomly divided into two groups,30 cases in each group.The observation group used vaginal delivery under epidural anesthesia,and the control group used natural vaginal delivery.Results:The time of cervical dilatation rom 3 cm to full opening time(active phase)and second labor time was significantly shorter than the control group,the differences were statistically significant(P<0.05).The cesarean section rate in the observation group was 10.00%,and the control group was 23.33%.There was no significant difference between the two groups(P>0.05).Neonatal asphyxia rate and postpartum hemorrhage rate were 0 in both groups.Conclusion:Epidural anesthesia is safe and effective for painless childbirth,which can effectively shorten the active period and second stage of labor without affecting the safety of mother and baby.
作者
侯向华
贾海军
HOU Xianghua;JIA Haijun(Xinzhou People's Hospital,Xinzhou 464400,China)
出处
《临床医药实践》
2020年第5期358-360,共3页
Proceeding of Clinical Medicine
关键词
硬膜外麻醉
无痛分娩
产程观察
产后出血
新生儿窒息
epidural anesthesia
painless childbirth
perinatal observation
postpartum hemorrhage
neonatal ventricular
