224例连续硬膜外分娩镇痛临床分析

Clinical analysis on continuous epidural labor analgesia in 224 cases

目的:探讨连续硬膜外分娩镇痛的镇痛效果及对妊娠结局的影响。方法:选取自愿接受并实行连续硬膜外分娩镇痛的224例初产妇为研究组,随机选取同期不采用分娩镇痛的初产妇250例为对照组,比较分析两组镇痛效果及妊娠结局。结果:镇痛组的视觉模拟标尺(VAS)法评分明显低于对照组,产程中宫缩乏力的发生率高于对照组,的第一产程、第二产程、总产程时长高于对照组,会阴侧切率低于对照组,差异均有统计学意义(P﹤0.005);两组剖宫产、手术助产、产后出血、新生儿窒息的差异无统计学意义(P﹥0.05)。结论:连续硬膜外分娩镇痛的镇痛效果良好,可减少分娩对母婴的伤害,对母婴安全,应广泛开展。

Objective To explore the effect of continuous epidural labor analgesia and its impact on pregnancy outcome.Method A total of 224 primiparous women receiving continuous epidural labor analgesia voluntarily were selected as study group; 250 primiparous women not receiving continuous epidural labor analgesia during the same period were randomly selected as control group; the analgesic effects and pregnancy outcomes in the two groups were compared.Results VAS score in study group was significantly lower than that in control group;the incidence rate of uterine inertia during stages of labor in study group was significantly higher than that in control group; the duration time of the first stage of labor,the duration time of the second stage of labor,the total duration time of stages of labor in study group were significantly higher than those in control group; the rate of lateral episiotomy in study group was significantly lower than that in control group,there were statistically significant differences in the above-mentioned indexes between the two groups （P 0.005） ; there was no statistically significant difference in the incidence rates of cesarean section,surgical midwifery,postpartum hemorrhage,and neonatal asphyxia between the two groups （P〉0.05） .Conclusion The effect of continuous epidural labor analgesia is good,the method can reduce the harms of delivery to pregnant women and their babies,the safety is high,so the method is worthy to be popularized extensively.