242例无痛分娩对产程的影响分析

Impact Analysis on 242 Cases of Painless Childbirth to the Labor

目的探讨无痛分娩患者的转归以及无痛分娩对于产程的影响。方法选取在医院接受治疗的初产妇242例,将其随机分成对照组以及观察组,对照组进行正常分娩,观察组则进行无痛分娩,对于两组初产妇的产程进行记录,分析产程时间上存在的差异,对于初产妇进入活跃期的患者,计算出现明显宫口扩张过程时的宫口扩张速率,同时记录初产妇在分娩时的胎头下降的速率,观察对比新生儿出生的各项生理指数。结果进行无痛分娩的观察组产程明显缩短,观察组的宫口扩张以及胎头下降的速率亦明显加快。观察组镇痛效果明显好于对照组,第一产程和总产程时间较对照组缩短,具有统计学差异。第一产程的时间观察组比对照组时间缩短4.07±0.7小时,第二、第三产程相比无统计学差异。观察组剖宫产率降低,两组差异有统计学意义。新生儿窒息及产后出血量差异无统计学意义。结论无痛分娩在实际的临床应用中具有较大的医学价值,能够明显缩短产妇的产程,并且对于胎儿生理情况以及产妇分娩无不良影响。

Objectives To explore the outcome of painless childbirth patients as well as its effect to the labor.Methods 242 cases of early maternal patients treated in our hospital were randomly divided into a control group and the observation group, the control group of normal birth, the observation group was painless childbirth, for two sets of early maternal birth process for recording, and analyzed the differences that existed in their labor time, observing whether early maternal obvious dilatation of the cervix in the active phase, if there was to be calculated dilatation rate of its expansion, at the same time, the beginning of maternal fetal head during childbirth the rate of decline should be some record, in order to providing a meaningful reference for the various physiological indices of newborns born. Results The situation for women in the observation group and the control group were observed childbirth could significantly determine the painless delivery of the observation group was significantly shorter labor, but the expansion of the cervix and fetal head from the rate of decline, the observation group the rate had accelerated noticeably. Compared to the duration of the first stage of the control group and the observation group differences（P0.01）, observation time was significantly shorter than in the control group. No statistically significant compared to the second and third stage. Conclusions The painless childbirth had greater medical value in actual clinical applications, which could significantly reduce maternal labor, and had no adverse effect on fetal physiology or maternal labor.