硬膜外分娩镇痛的临床分析

Clinical Analysis of Epidural Labor Analgesia

目的:探讨硬膜分娩镇痛对分娩的影响。方法:选取50例施行分娩镇痛的产妇作为镇痛组,随机抽取同期、条件相似的未实施分娩镇痛者50例为对照组,观察镇痛效果、产程、产后出血量、分娩方式及新生儿情况。结果:(1)两组孕妇疼痛感觉比较差异有统计学意义(P<0.05)。(2)两组产程、产后出血量比较差异均无统计学意义(P>0.05)。(3)镇痛组自然分娩率高于对照组,两组比较差异有统计学意义(P<0.05);镇痛组剖宫产率低于对照组,两组比较差异有统计学意义(P<0.05);两组阴道助产率比较差异无统计学意义(P>0.05)。(4)两组新生儿Apgar评分差异无统计学意义(P>0.05)。结论:硬膜外分娩镇痛不延长产程、不增加产后出血量、不影响新生儿评分,是安全有效的。同时硬膜外分娩镇痛对提高自然分娩率,降低剖宫产率起到积极作用,值得推广应用。

Objective：To investigate the effect of epidural labor analgesia on delivery. Method：Fifty cases of maternal with labor analgesia were randomly enforcement as analgesia group. Fifty cases non-given analgesia primipara were selected as the control group during the same period. The analgesia effect,stage of labor,postpartum haemorrhage and the status of the newborn were observed. Result：（1）The difference of pain of the pregnant women between two groups were statistically significant（P〈0.05）.（2）Comparison the stage of labor and postpartum haemorrhage between the two groups, there were no statistical significance（P〉0.05）.（3）Natural childbirth rate of analgesia group was higher than that of the control group,the difference was statisticall significance（P〈0.05）. Cesarean section rate of the analgesia group was lower than that of the control group,the difference was statistically significant（P〈0.05）. There was no statistical significance in the rate of instrumental delivery between the two groups（P〉0.05）.（4）The neonatal Apgar score had no statistical significance between the two groups（P〉0.05）. Conclusion：Epidural labor analgesia is safe and effective without prolonged labor,increase postpartum haemorrhage amount and affect the neonatal Apgar score. Epidural labor analgesia play a positive role in improving natural births and reduce cesarean section rate,is worthy being popularized and applied.