摘要
目的探讨镇痛分娩对降低产妇应激及促进安全分娩的作用。方法选择2019年10月至2020年3月在我院分娩的孕产妇60例为研究对象,随机分为研究组与对照组各30例。研究组采用腰硬联合麻醉行分娩镇痛,对照组常规阴道分娩接产。比较两组应激反应指标、分娩疼痛、焦虑评分、产后出血、胎儿宫内窘迫、阴道助产、新生儿出生后Apgar评分等。结果(1)两组分娩后,去甲肾上腺素、肾上腺素水平、肾素、血管紧张素AⅠ、血管紧张素AⅡ、ACTH、Cor水平均较待产前升高,差异有统计学意义(P<0.05);分娩后,研究组去甲肾上腺素以及肾上腺素水平、肾素、血管紧张素AⅠ、血管紧张素AⅡ、ACTH、Cor水平显著低于对照组,差异有统计学意义(P<0.05)。(2)分娩后2 h两组S-AI评分均较入组时升高,差异有统计学意义(P<0.05);但研究组分娩后2 h评分显著低于对照组,差异有统计学意义(P<0.05)。(3)产后1 h,研究组评分显著低于对照组,两组比较差异有统计学意义(P<0.05)。(4)研究组产后2 h出血量显著少于对照组,差异有统计学意义(P<0.05);研究组助产率低于对照组,差异有统计学意义(P<0.05)。两组产后出血、胎儿窘迫、新生儿出生后1 min、5 min的Apgar评分比较差异无统计学意义(P>0.05)。结论分娩镇痛可缓解产妇的应激反应,促进安全分娩,并且不增加宫内窘迫等情况发生。
Objective To explore the effect of labor analgesia on reducing maternal stress and promoting safe delivery.Methods A total of 60 pregnant and lying-in women who gave birth in our hospital from October 2019 to March 2020 were selected as the study subjects,and randomly divided into the research group and the control group,with 30 women each.The research group was treated with combined spinal and epidural analgesia(CSEA)for labor analgesia,and the control group was treated with routine vaginal delivery.Stress response indicators,labor pain,anxiety scores,postpartum hemorrhage,fetal intrauterine distress,vaginal midwifery,and neonatal Apgar scores after birth were compared between the two groups.Results(1)In the two groups,levels of norepinephrine,adrenaline,renin,angiotensin AⅠ,angiotensin AⅡ,ACTH and Cor after delivery were all higher than those before delivery,and the statistically significant differences were observed(P<0.05).After delivery,levels of norepinephrine,adrenaline,renin,angiotensin AⅠ,angiotensin AⅡ,ACTH and Cor in the research group were significantly lower than those in the control group,and the statistically significant differences were observed(P<0.05).(2)The S-AI scores of both groups were higher 2 hours after delivery than those at the time of enrollment,and the differences were statistically significant(P<0.05).The 2 h post-delivery score of the research group,however,was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).(3)The score of the research group 1 hour after delivery was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).(4)The 2-hour postpartum blood losses in the research group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The midwifery rate of the research group was lower than that of the control group,and the difference was statistically significant(P<0.05).No signifi
作者
张雁
吴朝勇
沈叶琴
方佳丽
ZHANG Yan;WU Chaoyong;SHEN Yeqin;FANG Jiali(Department of Obstetrics,Shaoxing Keqiao Women&Children's Hospital,Shaoxing 312030,China)
出处
《中国现代医生》
2021年第21期49-53,共5页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2020ZH060)。
关键词
镇痛分娩
产妇
应激
安全分娩
Labor analgesia
Pregnant and lying-in women
Stress
Safe delivery
