摘要
评价3种分娩镇痛方法对产妇及新生儿的影响。选取2022年4月—2023年4月贵州水矿控股集团有限责任公司总医院收治的90例产妇作为研究对象,按照随机数字表法平均分为3组,分别为甲组、乙组和丙组,每组各30例。甲组采用硬膜外镇痛,乙组采用笑气吸入镇痛,丙组采用药物镇痛。比较不同时间节点产妇疼痛情况评分、产妇产程时间、产妇分娩方式及新生儿窒息率、产妇血氧饱和度和新生儿脐血血气指标。结果显示,镇痛0.5~3h,3组产妇疼痛得分存在差异,甲组得分低于乙组和丙组(P<0.05);3组产妇潜伏期差异无统计学意义(P>0.05),活跃期、第二产程、总产程时间对比,甲组短于乙组、丙组(P<0.05);甲组顺产率高于乙组、丙组(P<0.05),新生儿窒息率低于乙组、丙组(P<0.05);甲组产妇血氧饱和度、新生儿脐血血气指标优于乙组和丙组(P<0.05)。研究发现,3种分娩镇痛方法对减轻疼痛均有一定效果,其中,硬膜外麻醉分娩镇痛方法效果最佳,对新生儿影响最小,值得推广应用。
Evaluate the impact of three delivery analgesia methods on postpartum and neonatal outcomes.90 pregnant women admitted to Guizhou Shuikuang Holdings Group Co.,Ltd.General Hospital from April 2022 to April 2023 were selected as the research subjects.They were divided into three groups on average using a random number table method,with 30 pregnant women in each group.Group A received epidural analgesia,Group B received nitrous oxide inhalation analgesia,and Group C received medication analgesia.Compare the analgesic eff ect,labor duration,delivery method,blood oxygen saturation,and blood gas indicators among the three groups.The results showed that there were diff erences in pain scores among the three groups of postpartum women after 0.5 to 3 hours of analgesia,with group A scoring lower than group B and group C(P<0.05).There was no statistically signifi cant diff erence in the incubation period among the three groups of postpartum women(P>0.05);The comparison of active phase,second stage of labor,and total stage of labor time showed that Group A was shorter than Group B and Group C(P<0.05).The rate of spontaneous labor in Group A was higher than that in Group B and Group C(P<0.05);The neonatal asphyxia rate in Group A was lower than that in Group B and Group C(P<0.05).There were diff erences in blood oxygen saturation and neonatal cord blood gas indicators among the three groups of postpartum women,with Group A having better indicators than Group B and Group C(P<0.05).Research has found that all three methods of labor analgesia have certain eff ects on reducing pain,among which epidural anesthesia has the best eff ect on labor analgesia and the least impact on newborns,which is worth promoting and applying.
作者
吕叶芹
LV Yeqin(Obstetrics and Gynecology Department,Guizhou Shuikuang Holdings Group Co.,Ltd.General Hospital,Liupanshui,Guizhou 553000)
出处
《科技与健康》
2023年第9期51-54,共4页
Technology and Health
关键词
硬膜外镇痛
笑气吸入
药物镇痛
新生儿影响
epidural analgesia
inhalation of laughing gas
medicated analgesia
neonatal impact
