分娩镇痛对母婴预后的影响研究

The impact of labor analgesia on maternal and infant prognosis

目的:探讨分娩镇痛对母婴预后的影响。方法:2011年11月～2012年11月在我院要求阴道自然分娩产妇309例,其中,实施分娩镇痛产妇169例(观察组),未实施分娩镇痛产妇140例(对照组),比较两组产妇剖宫产率、产后出血量、产后2h及24h血压、产后尿潴留情况、产后24h疼痛程度、产妇的满意度及新生儿情况。结果:观察组产妇产后出血量(236.4±71.13)ml,对照组产妇产后出血量(230.3±70.11)ml,两组比较差异无统计学意义(P>0.05)。两组产后2h及24h血压、产后尿潴留、产后24h疼痛程度及新生儿情况差异无统计学意义(P>0.05);观察组产妇满意度96.45%,明显高于对照组的79.29%;观察组剖宫产率17.16%,明显低于对照组的32.14%,两组差异有统计学意义(P<0.05)。讨论:分娩镇痛满足整个产程的镇痛需要,可降低剖宫产率,对母婴无不良影响,且大大提高产妇的满意度,值得临床推广使用。

Objective： To investigate the impact of labor analgesia on maternal and infant prognosis.Methods： November 2011 to November 2012 in our hospital natural vaginal delivery the maternal 309 cases for the study,including the implementation of the 169 cases of labor analgesia maternal,as the observation group,implementation labor analgesia puerpera 140 cases set for the control group,compared two groups of cesarean section rate,postpartum hemorrhage,postpartum 2h and 24h blood pressure,postpartum urinary retention situation,postpartum 24h degree of pain,maternal satisfaction and neonatal.Results： The amount of postpartum hemorrhage in observation group were（236.4 ± 71.13） ml,and the amount of postpartum hemorrhage in control group were（230.3 ± 70.11） ml,there was no statistical difference（P 0.05）.Two groups of postpartum 2h and 24h blood pressure,postpartum urinary retention,postpartum 24h degree of pain and neonatal were not statistical differences（P 0.05）.Maternal satisfaction of the observation group was 96.45%,significantly higher than that in the observation group（79.29%）;the cesarean section rate of the observation group was 17.16%,significantly lower than that in the control group（32.14%）,there were statistical differences（P 0.05）.Conclusion： Labor analgesia meet the needs of the analgesic throughout the production process,can reduce the rate of cesarean section,no adverse effects on mother and child,and greatly improve maternal satisfaction,worthy of clinical use.