无痛分娩对产妇综合状态及新生儿的影响探讨

To Explore the Influence of Painless Labor for the Comprehensive State of Delivery Women and Neonatus

目的探讨无痛分娩对产妇综合状态及新生儿的影响,以了解无痛分娩的临床应用价值。方法将2012年10月-2012年12月于本院进行分娩的100例产妇根据干预方式的不同分为对照组（正常自然分娩组）和观察组（无痛分娩组）,各50例。比较两组的第一产程和第二产程所需时间、痛觉程度、尿潴留发生率、缩宫素应用率、新生儿窒息发生率及镇痛前后的机体综合应激状态。结果两组产妇第一产程和第二产程所需时间、镇痛前疼痛程度及机体综合应激状态指标、新生儿窒息发生率对比,P〉0.05,差异不具有统计学意义,而观察组镇痛后不同时间的疼痛程度及机体综合应激状态指标均好于对照组,但尿潴留发生率及缩宫素应用率高于对照组,P〈0.05,差异具有统计学意义,且两组镇痛后的评估指标间对比,P〈0.05,差异具有统计学意义。结论无痛分娩对于产妇综合状态的影响更为积极,且未对新生儿造成不良影响,更为适用于顺产产妇。

Objective To investigate the influence of painless labor for the comprehensive state of delivery women and neonatus, in order to understand the clinical application value of painless labor.Methods Selected 100 delivery women from October 2012 to December 2012 in our hospital, were divided into the control group, normal spontaneous delivery group, and the observation group, painless labor group, by the differences of intervention methods, each group had 50 cases, the first and second stages of labor, pain degree, uroschesis rate, application rate of oxytocin, neonatal asphyxia rate, pain degree and body comprehensive stress state before and after the analgesia of two groups were compared.Results The ifrst and second stages of labor, pain degree and body comprehensive stress state before the analgesia, neonatal asphyxia rate of two groups,P〉0.05, had no difference satistically signiifcance, while the pain degree and body comprehensive stress state at different time after the analgesia were better than those of control group, but the uroschesis rate and application rate of oxytocin were higher than the control group,P〈0.05, had difference statistically significance, compared the evaluation indexes of two groups after the analgesia,P〈0.05, had difference statistically significance. Conclusion The influence of painless labor for the comprehensive state of delivery women are more active, and it has no bad influence for the neonatus, so it is more suitable to the eutocia puerpera.