硬膜外自控分娩镇痛在产程潜伏期与活跃期的应用时机比较

Comparison of the Application of the Timing of Labor-controlled Epidural Analgesia in the Latent Period and Active Period of Labor

目的探讨硬膜外自控分娩镇痛在产程潜伏期与活跃期的应用时机比较结果。方法选择2017年1—12月本院收治经足月妊娠住院分娩者80例作为研究对象。按随机数字法,将其分为两组,每组均为40例。观察组穿刺给药时机选择为产程潜伏期,对照组穿刺给药时机选择为产程活跃期。比较两组自然分娩率及剖宫产率,第一及第二产程耗时,并统计两组新生儿出生后1 min及5 min Apgar评分。结果观察组自然分娩率高于对照组,差异具有统计学意义(P<0.05),剖宫产率低于对照组,差异具有统计学意义(P<0.05),观察组第一及第二产程耗时均短于对照组(P<0.05),观察组1 min与5 min Apgar评分均优于对照组,差异具有统计学意义(P<0.05)。结论分娩产程的潜伏期进行有效的硬膜外镇痛治疗,对于缩短产程,提高自然分娩率及新生儿安全性均有重要价值。

Objective To compare the timing of application of epidural controlled labor analgesia in labor latency and active phase.Methods From January to December 2017,80 cases hospitalized for full-term pregnancy were divided into two groups according to random number method,all of which were 40 cases.The observation group puncture timing of choice for labor latency,the control group puncture timing of delivery for the active labor.The rates of spontaneous delivery and cesarean section were compared between the two groups.The first and second stage of labor were time-consuming.Apgar scores at 1 minute and 5 minutes after birth were calculated.Results The rate of spontaneous delivery in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The cesarean section rate was significantly lower in the observation group than in the control group,the difference was statistically significant(P<0.05).The first and the second stage of labor time of the observation group were shorter than control group(P<0.05).The Apgar scores of the observation group at 1 minute and 5 minutes were significantly better than those of the control group,the difference was statistically significant(P<0.05).Conclusion Epidural analgesia is effective during the delivery phase of labor,which is of great value in shortening the labor process,increasing the natural delivery rate and neonatal safety.