摘要
目的:分析硬膜外神经阻滞麻醉无痛分娩对宫缩疼痛、产程及母婴结局的影响。方法:选取2021年7月—2022年7月红安县人民医院收治的200例自然分娩产妇作为研究对象,根据入院先后顺序分为对照组与研究组,各100例。对照组进行常规产程处理,研究组进行硬膜外神经阻滞麻醉无痛分娩。对比两组疼痛情况、产程时间及不良母婴结局发生情况。结果:两组第一产程疼痛评分比较,差异无统计学意义(P>0.05);研究组第二产程、第三产程、宫口全开时疼痛评分低于对照组,差异有统计学意义(P<0.001)。研究组第一产程、第二产程时间短于对照组,差异有统计学意义(P<0.001);两组第三产程时间比较,差异无统计学意义(P>0.05)。研究组不良母婴结局总发生率低于对照组,差异有统计学意义(P=0.019)。结论:硬膜外神经阻滞麻醉无痛分娩能够减轻产妇疼痛,缩短产程时间,降低不良母婴结局发生风险,值得推广。
Objective:To analyze the influence of epidural nerve block anesthesia for painless delivery on uterine contraction pain,labor stage and maternal and infant outcomes.Methods:From July 2021 to July 2022,a total of 200 parturients with natural delivery admitted to Hongan People's Hospital were selected as the study subjects.They were divided into control group and study group according to the order of admission,with 100 cases in each group.The control group implemented routine labor stage treatment and the study group implemented epidural nerve block anesthesia for painless delivery.The pain,labor stage duration and incidence of adverse maternal and infant outcomes were compared between the two groups.Results:There was no significant difference in the pain scores during the first stage of labor between the two groups(P>0.05).The pain scores during the second stage of labor,the third stage of labor,and upon the full opening of the uterine orifice in the study group were lower than those in the control group,with statistically significant differences(P<0.001).The duration of the first stage of labor and the second stage of labor in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.001).There was no significant difference in the duration of the third stage of labor between the two groups(P>0.05).The overall incidence of adverse maternal and infant outcomes in the study group was lower than that in the control group,and the difference was statistically significant(P=0.019).Conclusion:Epidural nerve block anesthesia for painless delivery can relieve the pain of parturients,shorten the labor stage duration,and reduce the risk of adverse maternal and infant outcomes,which is worth promoting.
作者
潘伟民
Pan Weimin(Hongan People's Hospital,Huanggang 438400,Hubei Province,China)
出处
《中国社区医师》
2023年第23期26-28,共3页
Chinese Community Doctors
关键词
硬膜外神经阻滞麻醉
无痛分娩
宫缩疼痛
Epidural nerve block anesthesia
Painless delivery
Uterine contraction pain
