摘要
目的 探讨初产妇分娩过程中不同时机分娩镇痛对产程及分娩结局的影响。方法 回顾性选取2020年1月—2021年12月在南京市江宁医院分娩的初产妇220例的临床资料,根据分娩镇痛方式差异分为观察Ⅰ组(宫口扩张<3 cm时实施分娩镇痛,58例)、观察Ⅱ组(宫口扩张≥3 cm时实施分娩镇痛,52例)与对照组(未行分娩镇痛,110例)。记录各组产妇产程用时情况,对比3组初产妇分娩方式选择及新生儿评分情况。结果 观察Ⅰ组、Ⅱ组初产妇第一、二产程用时均明显长于对照组,差异有统计学意义(P<0.05);观察Ⅰ组产妇第一产程用时长于观察Ⅱ组,差异有统计学意义(P<0.05);观察Ⅰ组第二产程用时与观察Ⅱ组比较,差异无统计学意义(P>0.05);3组产妇第三产程用时比较,差异无统计学意义(P>0.05);观察Ⅰ组与Ⅱ组产妇自然分娩率高于对照组,剖宫产率低于对照组,差异有统计学意义(P<0.05);观察组Ⅰ组与观察Ⅱ组自然分娩率比较,差异无统计学意义(P>0.05);3组新生儿1、5 min评估Apgar评分比较,差异无统计学意义(P>0.05)。结论 初产妇实施分娩镇痛能够有效提高自然分娩率,同时不会对新生儿产生不良影响,但实施分娩镇痛时间越早越会延长第一产程时间,因此临床尽量选择宫口扩张≥3 cm时实施分娩镇痛,从而减轻产妇痛感,且缩短第一产程时长,保障母婴安全。
Objective Explore the impact of different timing of labor analgesia on the labor process and delivery outcomes in primiparous women during childbirth.Methods A retrospective study was conducted on 220 primiparous women of clinical data who delivered at Jiangning Hospital in Nanjing from January 2020 to December 2021.According to the differences in delivery analgesia methods,they were divided into observation group I(58 cases received delivery analgesia when the dilation of the cervix was less than 3 cm),observation groupⅡ(52 cases received delivery analgesia when the dilation of the cervix was≥3 cm),and control group(110 cases received no delivery analgesia).Recorded the duration of labor in each group of primiparous women,and compared the selection of delivery methods and neonatal scores among the three groups of primiparous women.Results The first and second stages of labor for primiparous women in groupⅠand groupⅡwere significantly longer than those in the control group,and the difference was statistically significant(P<0.05);the duration of the first stage of labor in groupⅠwas longer than that in groupⅡ,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the duration of the second stage of labor between group I and groupⅡ(P>0.05);there was no statistically significant difference in the duration of the third stage of labor among the three groups of postpartum women(P>0.05);the natural delivery rate of groupⅠand groupⅡpostpartum women was higher than that of the control group,and the cesarean section rate was lower than that of the control group,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the natural delivery rate between observation group I and observation group II(P>0.05);there was no statistically significant difference in Apgar scores between the three groups of newborns evaluated at 1 minute and 5 minutes(P>0.05).Conclusion Implementing labor analgesia in primiparou
作者
姚金翠
YAO Jincui(Department of Obstetrics and Gynecology,Nanjing Jiangning Hospital,Nanjing,Jiangsu Province,211000 China)
出处
《中外医疗》
2023年第6期105-108,113,共5页
China & Foreign Medical Treatment
关键词
宫口扩张
分娩镇痛
初产妇产程
分娩结局
新生儿评分
Dilatation of the uterine mouth
Labor analgesia
Primiparous labor
Delivery outcome
Neonatal score
