潜伏期及活跃期以椎管内药物镇痛对分娩的影响

Effect of Intraspinal Analgesia on Labor in Latent and Active Stages

目的研究潜伏期和活跃期予以椎管内药物镇痛对分娩结局的影响。方法选择医院行椎管内药物分娩镇痛的100例产妇分为对照组(50例)与观察组(50例),对照组活跃期给予椎管内药物镇痛,观察组在潜伏期给予椎管内药物镇痛,对比分析两组情况。结果观察组产妇在第一产程、第二产程以及活跃晚期的疼痛评分均明显低于对照组(P<0.05);观察组产妇的阴道助产率与剖宫产率均低于对照组,且自然分娩率高于对照组(P<0.05);观察组产妇与对照组产妇新生儿不良结局发生率无显著差异(P>0.05)。结论在产妇分娩潜伏期给予椎管内药物镇痛相较于活跃期而言效果更佳,可有效提高镇痛效果,减少产妇的痛苦,具有临床应用价值。

Objective To study the effect of intraspinal analgesia during latent and active periods on the outcome of labor.Methods 100 cases of intraspinal analgesia were divided into control group(50 cases)and observation group(50 cases).The control group was given intraspinal analgesia during active period,while the observation group was given intraspinal analgesia during latent period.The two groups were compared and analyzed.Results The pain scores in the first stage,the second stage and the active late stage of labor in the observation group were significantly lower than those in the control group(P<0.05);the vaginal delivery rate and cesarean section rate in the observation group were lower than those in the control group,and the natural delivery rate was higher than that in the control group(P<0.05);there was no significant difference in the incidence of adverse neonatal outcomes between the observation group and the control group(P>0.05).Conclusion Intraspinal analgesia during the latent period of delivery is better than that in the active period.It can effectively improve the analgesic effect and reduce the pain of the puerpera.It has clinical application value.