硬膜外分娩镇痛对妊高征患者分娩前后生命体征及分娩结局的分析

Analysis on the vital signs and delivery outcome of childbirth pregnancy-induced hypertension patients with epidural analgesia

目的分析硬膜外分娩镇痛对妊高征产妇分娩的生命体征及分娩结局的影响。方法对比98例布比卡因持续硬膜外麻醉和120例未实施无痛措施的妊高征患者分娩前后生命体征及分娩结局的差异。结果持续硬膜外麻醉与未实施无痛措施的患者比较产程时间,催产素及产后出血差异无统计学意义(P<0.05);显著缓解疼痛(P<0.01);显著减少产钳协助和剖宫手术(P<0.05);显著减少胎儿宫内缺氧及新生儿窒息的比例(P<0.05);各阶段过程中,MAP(mmHg),HR(次/min)差异有统计学意义(P<0.01)。结论持续硬膜外分娩镇痛有效缓解疼痛,减少胎儿缺氧,有助于分娩过程。

Objective To investigate the epidural analgesia on pregnancy-induced hypertension patients. Methods 98 cases of bupivaeaine contrast meehods of continuous epidural anesthesia and 120 cases of the implementation of measures to PIH painless delivery of vital signs before and after childbirth and the outcome of differences. Results Cotinuous epidural anesthesia and labor, oxytocin and postpartum hemorrhage was not significant difference （ P 〈 0.05 ） ; significantly ease the pain （ P 〈 0. 01 ） ; significant reduction in forceps assistance and post-surgery Palace （ P 〈 0. 05 ） ; Significantly reduced fetal hypoxia and the proportion of neonatal asphyxia （p 〈 0. 05 ） ; various stages in the process, MAP （ mm Hg） , HR （ times / min） had a significant difference （ P 〈 0. 01 ）. Conclusion Continuous epidural analgesia in labor effectively alleviate pain, reduce fetal hypoxia, help during childbirth.