摘要
目的分析不同时机行硬膜外自控分娩镇痛对产程、母婴结局的影响。方法选取盐城市妇幼保健院在2020年10月—2021年10月需要阴道分娩的产妇90例,按照随机数表法分为研究组和对照组,研究组在宫口开大1~2 cm时行硬膜外自控分娩镇痛,对照组在宫口开大3~4 cm时行硬膜外自控分娩镇痛,对比两组在活跃晚期宫口开大9~10 cm关泵和持续自控泵时间。对比两组产程、母婴结局和产后2 h出血量、新生儿5 min Apgar评分。结果研究组的产妇第一产程(432.13±72.32)min短于对照组(788.23±93.23)min,差异有统计学意义(t=20.245,P<0.001);研究组的剖宫产率为6.66%,低于对照组的22.22%,差异有统计学意义(P<0.05);但研究组的产后2 h出血量(180.23±65.23)mL、新生儿5 min Apgar评分(9.35±0.24)分和对照组指标比较,差异无统计学意义(P>0.05)。结论在潜伏期为产妇提供硬膜外自控分娩镇痛,能使产妇的产程缩短,促使产妇自然分娩,也能有效维护母婴的安全性,临床应用价值较高。
Objective To analyze the effect of epidural patient-controlled labor analgesia at different times on labor process and maternal and infant outcomes.Methods From October 2020 to October 2021,selected 90 puerperae who needed vaginal delivery in the Yancheng Maternal and Child Health Hospital,and divided the study group and the control group according to the random number table method,with 45 cases in each group.The study group performed patient-controlled epidural labor analgesia at 1-2 cm of uterine opening,and the control group performed epidural self-controlled labor analgesia with 3-4 cm uterine opening.The time of pump off and continuous self-controlled pump in the two groups were compared in the late active stage when the cervix was opened by 9-10 cm.The two groups were compared in terms of labor process,maternal and infant outcomes,postpartum hemorrhage volume at 2 hours,and neonatal Apgar score at 5 minutes.Results The first stage of labor in the study group was(432.13±72.32)min shorter than that in the control group(788.23±93.23)min,and the difference was statistically significant(t=20.245,P<0.001);the cesarean section rate in the study group was 6.66%,it was lower than 22.22%of the control group,and the difference was statistically significant(P<0.05).However,the postpartum hemorrhage volume of the study group was(180.23±65.23)mL,the neonatal 5 min Apgar score(9.35±0.24)points and the indicators of the control group,and the difference was not statistically significant(P>0.05).Conclusion Providing epidural self-controlled labor analgesia for puerperae during the incubation period can shorten the labor process of puerpera,promote natural labor of puerpera,and effectively maintain the safety of mother and child.It has high clinical application value.
作者
贾丽娅
耿维维
袁媛
JIA Liya;GENG Weiwei;YUAN Yuan(Department of Obstetrics,Yancheng Maternal and Child Health Hospital,Yancheng,Jiangsu Province,224007 China)
出处
《世界复合医学》
2022年第9期124-126,130,共4页
World Journal of Complex Medicine
基金
江苏省妇幼健康研究会2020年度委托研究课题(JSFY202001)。
关键词
不同时机
硬膜外
分娩
镇痛
产程
母婴
Different timing
Epidural
Labor
Analgesia
Labor process
Mother and child
