摘要
目的探讨产程不同阶段使用分娩镇痛对产程、分娩结局的影响。方法选取广州市妇女儿童医疗中心2020年1—3月收治的120例产妇为研究对象,采用随机数字表法分为潜伏期组(60例)和活跃期组(60例),潜伏期组于产程潜伏期行腰硬联合阻滞分娩镇痛,活跃期组于产程活跃期行腰硬联合阻滞分娩镇痛,比较两组产妇的分娩方式、产程时间、产后出血量、新生儿体重及新生儿Apgar评分、疼痛情况及妊娠结局。结果潜伏期组的自然分娩率(76.67%)显著高于活跃期组(55.00%),剖宫产率(10.00%)显著低于活跃期组(25.00%)(P<0.05);潜伏期组的活跃期、第二产程时间明显短于活跃期组(P<0.05);潜伏期组的视觉模拟疼痛评分(VAS)显著低于活跃期组(P<0.05);潜伏期组的产后出血量显著少于活跃期组(P<0.05);两组的新生儿体重及新生儿Apgar评分比较,差异无统计学意义(P>0.05);潜伏期组的不良妊娠结局总发生率(3.33%)显著低于活跃期组(13.33%)(P<0.05)。结论与活跃期分娩镇痛比较,潜伏期分娩镇痛能够明显提高镇痛效果,缩短产程时间,改善妊娠结局。
Objective To investigate the impacts of labor analgesia in different stages of labor on labor process and delivery outcome.Methods A total of 120 cases of parturient admitted to Guangzhou Women and Children's Medical Center from January to March 2020 were selected as objects,and they were divided into the latent phase group(n=60)and the active phase group(n=60)according to the random number table method.The latent phase group was given combined spinal–epidural anaesthesia(CSE)in the latent phase of labor,while the active phase group was given CSE in the active phase of labor.The delivery mode,labor process duration,postpartum hemorrhage volume,neonatal weight,Apgar score,pain and pregnancy outcome of the two groups of parturient were compared.Results The spontaneous delivery rate of the latent phase group was 76.67%,significantly higher than 55.00%of the active phase group,and the cesarean section rate was 10.00%,significantly lower than 25.00%in the active phase group(P<0.05).The duration of active phase and second stage of labor in the latent phase group was significantly shorter than that in the active phase group(P<0.05).The VAS score of the latent phase group was significantly lower than that of the active phase group(P<0.05).The postpartum hemorrhage volume in the latent phase group was significantly less than that in the active phase group(P<0.05).There was no significant difference in neonatal weight and Apgar score between the two groups(P>0.05).The total incidence of adverse pregnancy outcomes in the latent phase group was 3.33%,significantly lower than 13.33%in the active phase group(P<0.05).Conclusion Compared with labor analgesia in active phase,labor analgesia in latent phase can significantly improve the analgesic efficacy,shorten the labor process and improve the pregnancy outcome.
作者
黄薇
HUANG Wei(Guangzhou Women and Children's Medical Center,Guangdong,Guangzhou 510000,China)
出处
《中国医药科学》
2021年第2期106-109,共4页
China Medicine And Pharmacy
关键词
潜伏期
活跃期
产程
分娩结局
Latent phase
Active phase
Labor process
Delivery outcome
