自控硬膜外镇痛分娩180例临床观察

Controlled epidural labor analgesia in 180 cases

目的探讨自控硬膜外镇痛(PCEA)对产妇及新生儿的影响。方法采用回顾性分析方法,选择180例行硬膜外分娩镇痛、健康、单胎头位、足月临产初产妇为镇痛组。另选择同期180例条件相似,未行任何镇痛措施的自然临产产妇为对照组。比较两组产程、疼痛程度、分娩方式、缩宫素使用情况、产后出血、新生儿窒息等的差异。结果①镇痛组活跃期较对照组缩短,剖宫产率较对照组低;镇痛组疼痛程度和焦虑情绪比对照组明显减轻,产妇满意度高,其差异有统计学意义。②两组的缩宮素使用、产后出血、新生儿窒息差异无统计学意义。结论自控硬膜外分娩镇痛能明显缩短产程,降低剖宫产率,减轻产痛及产妇焦虑程度,对母婴影响小,是目前较理想的分娩镇痛方法,值得临床推广应用。

Objective To dicuss the impact of patient-controlled epidural analgesia on maternal and newborn.Methods Retrospective analysis method,choice of 180 cases of epidural analgesia in labor,health,single fetal head position,the term of the provisional maternal analgesia group.Another option the same period 180 cases met the conditions did not visit any of the natural labor analgesia maternal measures in the control group.Results ①Comparison of two-way,the pain of childbirth,use of oxytocin,postpartum hemorrhage,neonatal apgar score,and so the difference.Analgesic active group than the control group shortened,the rate of cesarean section than the control group.Analgesia group level and anxiety than that of the control group was significantly reduced maternal satisfaction high,there are significant differences between them.②Two groups oxytocin use of postpartum hemorrhage,asphyxia neonatal showed no significant difference.Conclusion Controlled epidural labor analgesia can significantly shorten the production process,reducing the rate of caesarean reduce labor pain and maternal anxiety,the impact of maternal and child small,is the preferred method of labor analgesia,it is for clinical use.