潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后的影响分析

Analysis of Effect of Intravertebral Block Anesthesia and Analgesia on Pregnancy Outcome and Neonatal Prognosis in latent Period

目的探讨潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后的影响分析。方法选取北京美中宜和妇儿医院2018年1月至2019年4月收治的200例麻醉分娩镇痛孕妇纳入此次研究,依照随机数字表法分为对照组与研究组,各100例。对照组实施椎管内阻滞麻醉分娩镇痛,研究组实施潜伏期行椎管内阻滞麻醉分娩镇痛。比较两组的产程指标,监测指标,分娩方式,及新生儿出生后Apgar评分。结果研究组的第一产程时间、第二产程时间均短于对照组(P<0.05);研究组的收缩压、舒张压、心率与对照组比较差异无统计学意义(P>0.05);研究组的顺产率高于对照组(P<0.05);研究组的剖宫产率、阴道助产率与对照组比较差异均无统计学意义(P>0.05);研究组的新生儿出生后1 min Apgar评分、出生后5 min Apgar评分均高于对照组(P<0.05)。结论对孕妇实施潜伏期行椎管内阻滞麻醉分娩镇痛可以有效改善妊娠结局,有效提高新生儿预后。

Objective To investigate the effect of spinal block analgesia in latent period on pregnancy outcome and neonatal prognosis.Methods A total of 200 cases of anaesthesia induced labor analgesia pregnant women admitted to Beijing sino-yihe women and children's hospital from January 2018 to April 2019 were included in this study.According to the random number table method,they were divided into the control group and the research group,with 100 cases each.The control group received intra-spinal block anesthesia for labor analgesia,while the research group received intra-spinal block anesthesia for labor analgesia during the incubation period.The two groups were compared in terms of duration of labor,monitoring,delivery pattern,and postnatal Apgar score.Results The time of the first stage and the second stage of labor in the study group were shorter than those in the control group(P<0.05).There was no significant difference in systolic blood pressure,diastolic blood pressure and heart rate between the study group and the control group(P>0.05).The normal rate of the study group was higher than that of the control group(P<0.05).There was no significant difference in cesarean section rate and vaginal delivery rate between the study group and the control group(P>0.05).The Apgar score after birth and 5 min after birth in the study group were higher than those in the control group(P<0.05).Conclusion Intravertebral block analgesia for pregnant women can effectively improve the outcome of pregnancy and improve the prognosis of neonates.