157例硬膜外麻醉无痛分娩的临床分析

Application of Epidural Anesthesia to 157 Cases of Painless Labor

目的探讨157例实施硬膜外阻滞麻醉无痛分娩孕妇的疼痛情况、产程进程、分娩方式等临床效果。方法从2013年1月至2013年6月在我院生产的孕妇中选择要求分娩镇痛者157例为观察组,采用硬膜外阻滞麻醉,以同期分娩未实施药物镇痛者157例为对照组;比较两组疼痛情况、产程进程及分娩方式等。结果观察组镇痛有效率为93.0%,显著高于对照组(P<0.01);观察组第一、第二产程明显比对照组缩短(P<0.05);观察组阴道助产率及剖宫产率低于对照组,两组分娩方式差异有统计学意义(P<0.05)。结论 157例实施硬膜外阻滞麻醉无痛分娩的孕妇,疼痛感觉明显减轻,产程进展加速,减少阴道助产和剖宫产率,对母婴无不良影响作用,具有良好的临床效果。

Objective To explore the effect of analgesic delivery under epidural block and the impact on labor course and delivery result. Methods 157 cases of voluntarily analgesic delivery from Jan 2013 to Jun 2013 were assigned as analgesic delivery group, and 157 cases of trans-vaginal delivery in the corresponding period were assigned as control group; the extent of delivery pain , time of labor course, amount of bleeding after delivery , the rate of transferred cesarean and neonatal asphyxia, fetal distress were compared. Result The effective rate of analgesia reached 93.0% in observation group, significantly higher than the control group（P＆lt;0.05）; time of the first labor course and the second labor course in observation group were shorter than that in control group（P＆lt;0.05）; the natural labour rate of observation group was higher than that of control group, the forceps delivery rate and cesarean rate were lower than that of control group , there was significantly difference in delivery modes between the two groups（P＆lt;0.01）.Conclusion The effect of analgesic delivery is definite under condition of the epidural anesthesia, this approach can accelerate labor course progress and reduce cesarean rate with no adverse effects on maternal and neonates.