摘要
目的探讨连续硬膜外分娩镇痛对产程、疼痛、分娩结局和应激反应的影响。方法选取2020年1月至2022年12月于徐州市妇幼保健院分娩的98例产妇为研究对象,依据随机数字表法分为两组,每组49例。对照组进行常规分娩,研究组采用连续硬膜外麻醉分娩镇痛。比较两组第一产程、第二产程、第三产程、疼痛程度、分娩结局、分娩前后应激反应指标水平。结果研究组产妇第一、第二、第三产程均短于对照组,研究组总产程疼痛程度低于对照组(P<0.05);研究组产妇经阴道分娩率高于对照组(P<0.05);分娩后,研究组空腹血糖水平、胰岛素水平、血浆皮质醇水平均低于对照组(P<0.05)。结论连续硬膜外分娩镇痛可显著缩短产程,降低产程疼痛程度,且可改善分娩结局和减少应激反应,值得推广。
Objective To investigate the effect of continuous epidural labor analgesia on labor,pain,delivery outcome and stress response.Methods A total of 98 parturients delivered in Xuzhou Maternity and Child Health Care Hospital from January 2020 to December 2022 were selected and divided into two groups by the random number table method,with 49 cases in each group.The control group received routine delivery,while the study group received continuous epidural labor anesthesia.The first,second and third stages of labor,the pain,the outcome of delivery,the level of stress response indexes before and after labor were compared between the two groups.Results The first,second and third stages of labor in the study group were shorter than those in the control group,and the pain degree during total labor in the study group was lower than that in the control group(P<0.05).The rate of vaginal delivery in the study group was higher than that in the control group(P<0.05).After delivery,The levels of fasting blood glucose,insulin and plasma cortisol in the study group were lower than those in the control group(P<0.05).Conclusion Continuous epidural labor analgesia can shorten the labor,reduce the degree of pain,improve the delivery outcome and reduce stress response significantly,which is worth popularizi ng.
作者
杜苏华
李维维
DU Suhua;LI Weiwei(Department of Anesthesiology,Xuzhou Maternity and Child Health Care Hospital,Jiangsu Province,Xuzhou 221000,China)
出处
《妇儿健康导刊》
2023年第17期87-89,共3页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
