产程中镇痛分娩与无镇痛分娩的试产效果比较分析

Comparative Analysis on the Trial-Labor Effects of Anodyne Labor and Non-Anodyne Labor During Labor Process

目的分析比较产程中镇痛分娩与无镇痛分娩的试产效果。方法选择2016年6月至2016年12月期间我院行镇痛分娩的产妇50例作为观察组,另选择同期行无镇痛分娩的产妇50例作为对照组,比较两组的分娩疼痛程度、试产分娩成功率,分析试产失败原因,记录试产失败转行剖宫产产妇的术中出血量、新生儿Apgar评分、催产素使用情况。结果观察组的分娩疼痛程度优于对照组(P<0.05)。观察组试产成功46例,成功率为92%;4例试产失败,其中活跃期停滞及产程延长各2例。对照组试产成功40例,成功率为80%;10例试产失败,其中胎儿窘迫4例,胎方位异常、活跃期停滞、产程延长各2例。两组试产失败后转行剖宫产产妇的术中出血量及新生儿Apgar评分无统计学差异(P>0.05),观察组的催产素使用率显著高于对照组(P<0.05)。结论镇痛分娩有助于缓解产妇的疼痛程度,可降低因活跃期停滞、产程延长、胎儿窘迫、胎方位异常等原因造成的试产失败。

Objective To analyze and compare the trial-labor effects of anodyne labor and non-anodyne labor during labor process. Methods 50 puerperae who had anodyne labor in our hospital from June 2016 to December 2016 were selected as observational group, and 50 puerperae who had non-anodyne labor at the same period were selected as control group. The labor pain degree and trial-labor success rate of puerperae were compared between two groups, the causes of trial-labor failure were analyzed, and the intraoperative blood loss of cesarean section, neonatal Apgar score, and oxytocin usage rate of puerperae with failure trial-labor were recorded. Results （1）The labor pain degree of observational group was significantly better than that of control group （P 〈0.05）. （2）46 puerperae in observational group had successful trial-labor, with the success rate of 92%; Among 4 failed cases, 2 cases had protracted active phase and another 2 cases had prolonged labor. 40 puerperae in control group had successful trial labor, with the success rate of 80%; Among 10 failed cases, 4 cases had fetal distress, 2 cases had fetal position abnorrnity, 2 cases had protracted active phase, and 2 cases had prolonged labor. （3）For puerperae who received cesarean section after trial-labor failure, there were no statistical difference between two groups in the intraoperative blood loss or neonatal Apgar score （P 〉0.05）, while the oxytocin usage rate of puerperae in observation group was significantly higher than that of puerperae in control group （P 〈0.05）. Conclusions Anodyne labor contributes to relieving puerperae＇s pain degree and reducing the trial-labor failure caused by protracted active phase, prolonged labor, fetal distress and fetal position abnormity.