硬膜外分娩镇痛配合积极产程管理对分娩结局的影响分析

Analysis of the effect of epidural labor analgesia with positive labor management on birth outcomes

目的研究硬膜外分娩镇痛配合积极产程管理对分娩结局的影响。方法选取2015年在新疆石河子妇幼保健院住院分娩的单胎足月孕妇,根据患者自愿原则分为两组:有分娩镇痛要求实施连续硬膜外分娩镇痛配合积极产程管理的72例孕妇作为观察组,无分娩镇痛要求采取常规分娩的100例孕妇作为对照组。结果观察组与对照组比较:1观察组产妇镇痛后各时间点数字评分(NRS)均较对照组降低,差异有统计学意义(P<0.05)。镇痛起效时间(10.5±6.4)min。2两组活跃期及二产程时间、新生儿阿氏评分、出血量比较差异均无统计学意义(P>0.05);观察组缩宫素使用率高于对照组(P<0.05);观察组剖宫产率低于对照组(P<0.05)。结论硬膜外分娩镇痛配合积极产程管理,镇痛效果确切,不延长产程,可降低剖宫产率,对母婴安全。

Objective To study the effect of epidural labor analgesia with positive labor management on birth outcomes. Methods The single full-term pregnant women hospitalized in our hospital in 2015 were selected and divided into two groups according to the principle of voluntary,72 cases with labor analgesia required implementing continuous epidural labor analgesia with positive labor management were regarded as observation group,the 100 cases of pregnant women with usual delivery were regarded as control group.Results The NRS scores in each time point in observation group was lower than that in control group（P 0. 05）,and the analgesia onset time was（10. 5 ± 6. 4） min. There was no significant difference between the two groups in active phase,the second stages of labor,newborn Apgar scoring and amount of bleeding（P 0. 05）. The oxytocin utilization rate in observation group was higher than that in control group（P 0. 05）,but the cesarean section rate was lower than that in control group（P 0. 05）. Conclusion The analgesic effect of epidural labor analgesia with positive labor management was exact and safe for maternal and child,and could not extend labor stage,but could decrease the rate of cesarean delivery.