全产程分娩镇痛与第一产程分娩镇痛对母婴结局的影响对比

Effect Comparison between Total Stage of Labor Analgesia and the First Stage of Labor Analgesia on Maternal and Neonatal Outcomes

目的探讨全产程分娩镇痛与第一产程分娩镇痛对母婴结局的影响。方法选取成都市妇女儿童中心医院2015年2月—2016年11月收治的阴道分娩产妇438例,根据产妇分娩镇痛方案分为第一产程末停药组88例及全产程末停药组350例。比较两组分娩过程中疼痛情况、最终分娩方式、中转剖宫产率,评估两组新生儿出生后1、5 min的Apgar评分。结果第一产程末停药组产妇第二产程视觉模拟疼痛评分高于全产程末停药组,中转剖宫产率高于全产程末停药组(P<0.05,P<0.01)。两组新生儿出生体重、出生后1、5 min的Apgar评分比较差异均无统计学意义(P>0.05)。结论全产程分娩镇痛可有效降低产妇第二产程的疼痛程度及中转剖宫产率。

Objective To investigate effects of total stage of labor analgesia and the first stage of labor analgesia on maternal and neonatal outcomes.Methods A total of 438 women with vaginal delivery during February 2015 and November 2016 were divided into the first stage of labor analgesia group(group A,n=88)and total stage of labor analgesia group(group B,n=350)according to different analgesia methods.In two groups,pain conditions,the final delivery mode and rate of transferred cesarean section were compared,and Apgar scores of newborns at 1 min and 5 min after birth were evaluated.Results In group A,visual analogue scales(VAS)score in the second stage and rate of transferred cesarean section were significantly higher than those in group B(P<0.05,P<0.01).There were no significant differences in birth weight,Apgar scores of newborns at 1 min and 5 min after birth between two groups(P>0.05).Conclusion The total stage of labor analgesia may effectively reduce maternal pain degree of the second stage of labor and rate of transferred cesarean section.