摘要
目的:分析硬膜外麻醉方案用于初产妇无痛分娩中的效果及对分娩结局的影响。方法:选择某医院产科分娩的初产妇,以采用了硬膜外麻醉无痛分娩的152例初产妇作为观察组;随机选取无镇痛的152例初产妇作为对照组;比较两组分娩方式及母婴结局。结果:观察组产妇阴道分娩率高于对照组,剖宫产率低于对照组(P<0.05);观察组产妇第一产程时间与第三产程时间与对照组差异无统计学意义(P>0.05),第二产程时间长于对照组(P<0.05)。两组在胎儿宫内窘迫、新生儿窒息、巨大儿以及出生1 min、5 min、10 min的新生儿Apgar评分比较,差异均无统计学意义(P>0.05)。结论:硬膜外麻醉用于初产妇无痛分娩,可降低剖宫产率,对母婴结局无负面影响。
Objective:This paper analyzes the effect of epidural anesthesia on painless delivery in primipara and its influence on delivery outcome.Methods:primiparas in the obstetrics department of hospital were selected as and divided into observation group with 152 received painless delivery with epidural anesthesia and control group with 152 primiparas without pain relief measures.Mode of delivery and maternal and infant outcomes were compared between the two groups.Results:The vaginal delivery rate in the observation group was higher than that in the control group,and the cesarean section rate was lower than that in the control group(P<0.05).The first stage of labor in the observation group was shorter than that in the control group,and the second stage of labor was longer than that in the control group(P<0.05).There were no differences in intrauterine distress,neonatal asphyxia,macrosomia,and neonatal Apgar scores at 1,5,and 10 minutes after birth between the two groups(P>0.05).Conclusion:Epidural anesthesia for painless delivery in primiparas can reduce the rate of cesarean section without negative impact on maternal and infant outcomes.
作者
强朝阳
QIANG Chao-yang(People's Hospital of Fanchang District,Wuhu 241200,Anhui)
出处
《安徽医专学报》
2022年第4期127-129,共3页
Journal of Anhui Medical College
关键词
硬膜外麻醉
初产妇
无痛分娩
分娩结局
epidural anesthesia
primipara
painless delivery
delivery outcomes
