摘要
目的探讨分娩镇痛在自然分娩初产妇中的应用效果。方法回顾性分析2018年1月~2019年7月在我院自然分娩的102例初产妇作为研究对象,根据选择分娩干预方式的不同分为对照组(n=51)和观察组(n=51)。对照组采取非药物性镇痛,观察组采取非药物性镇痛联合椎管内麻醉镇痛,比较两组产程进展、产后出血量、疼痛程度、Apgar评分及妊娠结局。结果两组第一产程、第二产程及第三产程及总产程比较,差异无统计学意义(P>0.05);观察组产后出血量为(239.84±21.69)ml,少于对照组的(287.04±22.31)ml,视觉模拟量表(VAS)评分为(5.06±0.69)分,低于对照组的(6.79±0.78)分,5 min时Apgar评分为(8.55±0.54)分,高于对照组的(8.31±0.50)分,10 min时Apgar评分为(8.95±0.47)分,高于对照组的(8.64±0.43)分,差异均有统计学意义(P<0.05);观察组不良妊娠结局总发生率(3.92%)低于对照组(17.65%),差异有统计学意义(P<0.05)。结论采取分娩镇痛措施对自然分娩初产妇产程影响较小,且可减少产后出血情况,缓解产后疼痛,改善妊娠结局,值得临床推广应用。
Objective To investigate the application effect of labor analgesia in primiparae with natural childbirth.Methods A retrospective analysis was performed on 102 primiparous women who gave birth naturally in our hospital from January 2018 to July 2019.They were divided into control group(n=51)and observation group(n=51)according to the different ways of delivery intervention.In the control group,non-drug analgesia was used,and in the observation group,non-drug analgesia combined with spinal anesthesia was adopted.The progress of labor,postpartum hemorrhage,pain,Apgar score and pregnancy outcome were compared between the two groups.Results There was no significant difference in the first,second,third,and total labor time between the two groups(P>0.05).The postpartum hemorrhage was(239.84±21.69)ml in the observation group,less than that in the control group for(287.04±22.31)ml.The visual analogue scale(VAS)score was(5.06±0.69)points,lower than that of the control group for(6.79±0.78)points.At 5 minutes,the Apgar score was(8.55±0.54)points,higher than that of the control group for(8.31±0.50)points.At 10 minutes,the Apgar score was(8.95±0.47)points,higher than that of the control group for(8.64±0.43)points,and the differences were statistically significant(P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was 3.92%,lower than that in the control group accounting for 17.65%,with statistical difference(P<0.05).Conclusion Application effect of labor analgesic measures has less effect on the labor stages in primiparous women with natural childbirth,and can reduce postpartum hemorrhage,alleviate postpartum pain,and improve pregnancy outcomes.It is worthy of clinical promotion and application.
作者
杨郁
王涛
YANG Yu;WANG Tao(Department of Obstetrics and Gynecology,Jianghan Oilfield General Hospital,HubeiProvince,Qianjiang 433124,China;Department of Urology,Jianghan Oilfield General Hospital,Hubei Province,Qianjiang 433124,China)
出处
《中国当代医药》
2020年第12期116-118,共3页
China Modern Medicine
关键词
自然分娩
分娩镇痛
椎管内麻醉镇痛
初产妇
产程进展
妊娠结局
Natural childbirth
Labor analgesia
Intraspinal anesthesia and analgesia
Primiparous women
Labor progress
Pregnancy outcome
