产道无痛分娩与自然分娩的临床观察

Analysis of the Difference Between Birth Canal Painless Labor and Spontaneous Labor

【目的】分析无痛分娩与自然分娩的临床差异。【方法】选取本院2012年8月至2013年8月收治的400例足月孕妇作为研究对象，按照随机数字表分为观察组与对照组各200例，观察组孕妇采用无痛分娩，对照组采用自然分娩，比较两种方法的临床差异。【结果】观察组分娩过程中的疼痛情况明显优于对照组，差异具有统计学意义（P＜0．05）；观察组分娩过程中第一产程、第二产程的时间均明显低于对照组，差异具有统计学意义（P＜0．05）；观察组分娩过程中的脉搏、心率、氧分压、二氧化碳分压均明显优于对照组，更接近于正常均值，且差异具有统计学意义（P＜0．05）。【结论】产道无痛分娩相比自然分娩具有显著的镇痛作用，能更有效地提高分娩的质量，安全性更好，值得临床推广应用。

[Objective]To analyze the difference between birth canal painless labor and spontaneous labor.[Methods]Totally 400 full-term pregnant women in our hospital from Aug.2012 to Aug.2013 were enrolled in the study.According to the random number table,all these women were divided into observation group（n=200）and control group（n=200）.The observation group was given painless labor,while the control group was given spontaneous labor.Clinical difference between two methods was analyzed.[Results]The pain in the observation group during the childbirth was obviously better than that in the control group,and there was sig-nificant difference（P〈0.05）.The time of first and second stage of childbirth in the observation group during the childbirth were obviously lower than those in the control group,and there was significant difference（P〈0.05）.Pulse,heart rate,partial pressure of oxygen and carbon dioxide in the observation group during the childbirth were obviously better than the control group and closer to normal mean value,and there was signifi-cant difference（P〈0.05）.[Conclusion]Birth canal painless labor has more significant analgesic effect than spontaneous labor.It can effectively improve the quality of childbirth and has good safety,so it is worthy of clinical popularization and application.