腰硬联合阻滞分娩镇痛对产妇产程及母婴结局的影响

Effects of Spinal-Epidural and Block Analgesia on Labor and Maternal and Infant Outcomes

目的:探讨腰硬联合阻滞分娩镇痛对产妇产程及母婴结局的影响。方法:选取2016年1月至2016年6月期间在医院接受分娩的产妇140例,按照患者是否要求无痛分娩分成2组,每组70例。对照组产妇未实施任何镇痛措施,观察组产妇实施腰硬联合阻滞分娩镇痛。比较两组临床指标和生产情况。结果:两组产妇第二产程时间、产后出血量、新生儿窒息和产钳助娩无统计学差异(P>0.05);观察组活跃时间明显短于对照组,剖宫产发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:腰硬联合阻滞分娩镇痛能有效缩短活跃期时间,加速产程进度,减少产妇疼痛,降低剖宫产率,并且对母婴结局无明显不良影响,具有较高的临床应用价值。

Objective:To investigate the effects of both spinal-epidural and block analgesia on labor and maternal and infant outcomes.Methods:140delivery women in the People's Hospital of Nanchang County from January 2016 to August 2016 had been divided into 2groups in accordance with the requirements of the patients on whether painless childbirth or not,70 cases in each group.No analgesic measures had been taken for the control group,both spinal-epidural and block analgesia for the observation group.The clinical indexes and production conditions of the two groups had been compared.Results:There were no significant differences between the two groups in the time of the second labor stage,postpartum hemorrhage,neonatal asphyxia and forceps delivery(P>0.05);the activity time in the observation group was significantly shorter than the control group,the cesareansection rate significantly lower than the control group,the differences being significant(P<0.05).Conclusion:Both spinal-epidural and block labor analgesia can shorten the activity duration,accelerate the labor progress,reduce maternal pain and reduce the rate of cesarean section,with no obvious adverse effects on maternal and neonatal outcomes.It has a higher clinical application value.