摘要
目的探讨硬膜外镇痛对产程进展及母亲和新生儿结局的影响。方法回顾性分析2008年6月至2008年12月在我院分娩的单胎、初产、头位、进入活跃期的足月孕妇的临床资料。374例按是否行分娩镇痛分为镇痛组187例和对照组187例,观察两组孕妇产程时间、催产素的使用率、分娩方式、产后出血量及新生儿1 min及5 min的Apgar评分。结果镇痛组和对照组的产后出血量、剖宫产率、异常胎心监护及新生儿Apgar评分无明显差异(Р>0.05);镇痛组活跃期时间较短,第二产程时间较长,与对照组比较差异有统计学意义(Р<0.05)。镇痛组催产素使用率高、产钳助产率高,两组相比差异有统计学意义(Р<0.05)。结论硬膜外分娩镇痛不增加剖宫产率,不影响新生儿预后,但可能影响第二产程,增加阴道助产率。
Objective To identify the effects of epidural labor analgesia on progress of labor, maternal and neonatal outcomes. Methods Data of pregnant women in our hospital about singleton, nulliparous, vertex presentations and term pregnancies with active phase of labor pregnancies from June 2008 to December 2008 was analysed retrospectively. 374 cases were divided into two groups according to receive epidural analgesia or not, 187 cases in analgesion group and 187 cases in control group. Length of labor,oxytocin use,way of delivery, prenatal blood loss and 1 and 5-minute Apgar scores of infants were compared. Results Prenatal blood loss, cesarean sections rate, abnormality of fetal heart rate and 1 and 5-minute Apgar scores of infants were similar in analgesia and control group ( P 〉 0.05 ). Length of the active phase of labor was shorter and the second stage of labor was longer in epidural group, the differences were statistically significant between the two groups (P 〈 0.05 ). The rates of oxytoein use and forceps vaginal delivery were higher in analgesia group than those in control group ( P 〈 0.05 ). Conclusion Epidural labor analgesia may be associated with slower progress of the second stage of labor and higher instrumental vaginal deliveries, but does not increase the risk cesarean sections and adverse effects on neonatal outcomes.
出处
《现代医学》
2009年第5期345-347,共3页
Modern Medical Journal
关键词
硬膜外分娩镇痛
产程进展
母婴预后
epidural labor analgesia
progress of labor
maternal and neonatal outcomes