无痛分娩方式的实施对降低剖宫产率的临床作用及影响

The clinical effect and influence of painless delivery mode on reducing cesarean section rate

目的:探讨无痛分娩方式的实施对降低剖宫产率的临床作用及影响。方法:选取2017年1月—2018年9月本院104例足月妊娠产妇作为研究对象,随机分为研究组(n=52)和常规组(n=52)。常规组实施常规分娩方式,研究组实施持续硬膜外镇痛分娩方式,比较两组产妇的顺产率及剖宫产率,第一、二产程时间,疼痛程度评分(VAS评分法)及新生儿乏氧度评分(Apgar评分法)。结果:与常规组比较,研究组的剖宫产率更低(75.0%vs7.7%),第一、二产程时间更短[(15.21±0.92)hvs(13.06±0.61)h],镇痛效果更好[(5.15±1.24)分vs(1.79±0.55)分],新生儿乏氧程度更低[(7.3±0.5)分vs(8.1±0.6)分],差异均有显著统计学意义(P<0.01)。结论:对妊娠产妇实施无痛分娩方式,能明显缓解分娩疼痛感,既有利于缩短产程时间,还可显著降低剖宫产率,新生儿乏氧程度轻,值得在临床进一步推广。

Objective: To explore the clinical effect and influence of painless delivery mode on reducing cesarean section rate. Methods: 104 full-term pregnant women were randomly divided into study group(n=52) and conventional group(n=52). The normal delivery mode was implemented in the conventional group and the continuous epidural analgesia delivery mode was implemented in the study group. The rates of natural labor and cesarean section, time of first and second labor stages, pain score(VAS scoring system) and neonatal hypoxia score(Apgar score) in the two groups were compared. Results: Compared with the conventional group, the cesarean section rate of the study group was lower(75.0% vs. 7.7%), the first and second stages of labor were shorter [(15.21±0.92) h vs. 13.06±0.61) h], the analgesic effect was better [(5.15±1.24) points vs.(1.79±0.55) points], the neonatal hypoxia level was lower [(7.3±0.5) points vs.(8.1±0.6) points], and the differences were statistically significant(P<0.01). Conclusion: The painless delivery method for pregnant women can significantly alleviate the pain of childbirth, which is conducive to shortening the duration of labor, significantly reducing the rate of cesarean section and reducing the degree of neonatal hypoxia. Our results highlight the advantages of painless delivery mode, which is worthy of further promotion in clinical practice.