摘要
目的探讨潜伏期行椎管内阻滞麻醉分娩镇痛对妊娠的影响。方法选取84例孕产妇,按照随机数字表法分为对照组与试验组,每组42例。对照组在活跃期(宫口≥6cm时)进行硬膜外穿刺麻醉,试验组潜伏期规律宫缩(宫口<6 cm时)进行硬膜外穿刺麻醉。比较两组各项指标。结果试验组第一产程、第二产程均短于对照组,差异有统计学意义(P<0.05),两组产妇的心率(HR)、舒张压(DBP)及收缩压(SBP)水平比较,差异均无统计学意义(P>0.05)。试验组剖宫产率7.14%低于对照组的23.81%,顺产率92.86%高于对照组的76.19%,差异有统计学意义(P<0.05);两组分娩后5 min的新生儿Apgar评分均高于分娩后1 min,试验组高于对照组,差异有统计学意义(P<0.05);两组分娩镇痛后5、30、60 min的视觉模拟评分法(VAS)评分均降低,且试验组低于对照组,差异有统计学意义(P<0.05)。结论潜伏期行椎管内阻滞麻醉分娩镇痛可以有效缩短产程,降低剖宫产率,减轻产妇的疼痛程度,改善分娩结局,值得临床推广。
Objective To investigate the effect of intraspinal block anesthesia and labor analgesia on pregnancy during incubation period. Methods 84 pregnant women were selected and divided into control group and experimental group according to random number table method, with 42 cases in each group. The control group received epidural puncture anesthesia during the active period(uterine orifice ≥6 cm), and the experimental group received epidural puncture anesthesia during the incubation period(uterine orifice <6 cm). Compare the two groups of indicators. Results The first and second stages of labor in experimental groups were shorter than those in control group, with statistical significance(P<0.05), but there was no statistical significance in the levels of heart rate(HR), diastolic blood pressure(DBP) and systolic blood pressure(SBP) between the two groups(P>0.05). The cesarean section rate of experimental group was 7.14% lower than that of control group(23.81%), and the vaginal delivery rate of experimental group was 92.86% higher than that of control group(76.19%), the difference was statistically significant(P<0.05). Apgar score 5 min after delivery was higher in both groups than 1 min after delivery, and the experimental group was higher than the control group, the difference was statistically significant(P<0.05). Visual analog scale(VAS) scores 5, 30 and 60 min after labor analgesia were decreased in both groups, and the experimental group was lower than the control group, the difference was statistically significant(P<0.05).Conclusion Intravertebral block anesthesia analgesia during the incubation period can effectively shorten the labor process, reduce the rate of cesarean section, reduce the degree of maternal pain, improve the outcome of labor, worthy of clinical promotion.
作者
卢芝婵
Lu Zhichan(Maternity and Child Health Hospital,Rongcheng District,Jieyang City,Maternity and Child Health Center,Obstetrics Division 1,Jieyang 522000,Guangdong)
出处
《实用妇科内分泌电子杂志》
2022年第19期36-39,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
分娩镇痛
潜伏期
椎管内阻滞麻醉
第一产程
第二产程
Labor analgesia
The incubation period
Intraspinal block anesthesia
The first stage of labor
The second stage of labor
