连续性硬膜外麻醉对产妇无痛分娩镇痛效果、产程及母婴结局的影响

Influence of continuous epidural anesthesia on analgesic effect,labor process and maternal and infant outcome of painless delivery in parturients

目的探讨连续性硬膜外麻醉对产妇无痛分娩镇痛效果、产程及母婴结局的影响。方法选取2015年1月~2019年4月我院收治的500例产妇作为研究对象,按照随机数字表法分为A组(250例)与B组(250例)。A组未行分娩镇痛,B组采用连续性硬膜外麻醉。比较两组产妇的镇痛效果、产程时间和母婴结局。结果经过干预后,B组产妇的视觉模拟量表(VAS)评分高于A组,第一、第二产程时间短于A组,自然分娩率高于A组,新生儿窒息率低于A组,差异均有统计学意义(P<0.05)。结论在产妇无痛分娩中应用连续性硬膜外麻醉,能够有效缓解产妇的分娩疼痛程度,缩短产妇的产程时间,提高产妇的自然分娩率,有利于改善母婴结局,值得在临床中应用推广。

Objective To explore the influence of continuous epidural anesthesia on analgesic effect,labor process and maternal and infant outcome of painless delivery in parturients.Methods A total of 500 cases of parturient patients admitted to hospital from January 2015 to April 2019 were selected as the study objects,and they were divided into group A(250 cases)and group B(250 cases)according to the random number table method.Group A did not receive labor analgesia,and group B received continuous epidural anesthesia.The analgesic effect,duration of labor process and maternal and infant outcomes of the two groups were compared.Results After intervention,the visual analogy scale(VAS)score of group B was higher than that of group A,the first and second duration of labor process in group B were shorter than that in group A,the rate of spontaneous delivery in group B was higher than that in group A,and the rate of neonatal asphyxia in group B was lower than that in group A,the differences were statistically significant(P<0.05).Conclusion The application of continuous epidural anesthesia of painless delivery in parturients can effectively relieve the degree of labor pain,shorten the time of labor process,improve the rate of spontaneous delivery,and improve the outcome of maternal and infant.It is worthy of popularizing and application in clinical practice.