腰硬联合阻滞分娩镇痛对产程的影响及产程中使用缩宫素对镇痛效果的影响

Study of the influence on durations of labor and the use of oxytocin in spinal-epidural analgesia(CSEA)

目的探讨腰硬联合阻滞分娩镇痛对产程的影响及产程中缩宫素的使用。方法 2010年11月至2011年2月在本院足月阴道分娩、无妊娠合并症和并发症、无手术助产的初产妇82例,其中,41例产妇实施分娩镇痛(分娩镇痛组),41例未行分娩镇痛(对照组),分别记录并比较两组产妇各产程时间、产时缩宫素的使用率、镇痛效果、产后2h及24h出血量、新生儿Apgar评分及分娩镇痛组产时使用缩宫素的镇痛效果等。结果分娩镇痛组第一产程较对照组明显延长(P<0.05);分娩镇痛组较对照组缩宫素使用率增加;分娩镇痛组较对照组镇痛效果显著(P<0.05);产后出血及新生儿Apgar评分两组比较差异无统计学意义;分娩镇痛时使用缩宫素对镇痛效果无影响。结论分娩镇痛效果显著,但可能会使第一产程延长;产程中可适当使用缩宫素,其对镇痛效果无影响;分娩镇痛对产妇及新生儿无不良影响。

Objective To investigate the influence on durations of labor and the use of oxytocin in spinal-epidural analgesia （CSEA）. Methods This study recruited 82 primiparas through vaginal delivery in our hospital from November 2010 to February 2011, who had no gestational complications and obstetrical operations. They were divided into tow groups： the analgesia group（41 cases） and the normal group（41 cases）.The delivery process, the rate of using oxytocin,the effect of analgesia,the quantity of postpartum hemorrhage,the Apgar scores of fetus and the influence on pain when using oxytocin in labor analgesia are compared between the two groups. Results The analgesia group had longer duration of the first stage of labor, the higher rate of using oxytocin and the better effect of analgesia than the normal group. There were no significant differences in the quantity of postpartum hemorrhage and Apgar scorcs. There was no influence on pain when using oxytocin in labor analgesia. Conclusions The effect of labor analgesia is significant, but it may prolong the first stage of labor. Oxytocin can be used in the labor and there is no influence on pain when using it. Labor analgesia has no influence on mother and fetus.