可行走式无痛分娩的镇痛效果及其对母儿的影响

Analgesic Effect of Ambulatory Labor Analgesia and Its Influence on the Mother and Fetus

目的：分析可行走式无痛分娩的镇痛效果及其对母儿的影响。方法回顾性分析2010年1月～2012年9月收治的168例孕产妇，按照分娩方式分为无痛分娩组（n=84）和常规分娩组（n=84），比较两组产妇各产程及新生儿情况。结果无痛分娩组剖宫产率低于常规分娩组（P〈0.05），无痛分娩组第一产程较常规分娩组缩短（P〈0.05），第二产程较常规分娩组延长（P〈0.05），第三产程差异无统计学意义（P〈0.05），2组胎儿窘迫发生率及Apgar评分差异无统计学意义（P〈0.05）。结论可行走式无痛分娩具有良好的镇痛效果，可显著降低产妇各产程的疼痛感觉，且不会发生严重产后并发症，是一种安全、有效的分娩镇痛方式。

Objective Analysis the analgesia effect of ambulatory labor analgesia and its influence on the mother and fetus.Methods Retrospective analysis of 168 cases of pregnant women in our hospital from January 2010 to September 2012. According to the mode of delivery,the cases were divided into painless delivery group（n=84）and conventional delivery group（n=84）,and compared the two groups in the labor pain score,birth process and newborn situation.Results Cesarean section rate was significantly lower in painless childbirth group than that in conventional delivery group（P〈0.05）; the first stage in painless childbirth group is shorter than the conventional delivery group（P〈0.05）,the second stage of labor was significantly prolonged compared with that in the conventional delivery group（P〈0.05）,third stage has no significant statistical difference in two groups（P〈0.05）,the incidence of neonatal apgar score of two groups of fetal distress were no significant statisticaldifference（P〈0.05）.Conclusion Ambulatory labor analgesia can significantly reduce maternal pain of the production process,and wil not lead to severe postpartum complications,fetal harm,is an effective,is worthy of clinical application.