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

Effect of Intravertebral Canal Block Anesthesia on Labor Analgesia on Pregnancy Outcome and Neonatal Prognosis in Pregnant Women

目的对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影响进行分析。方法方便选取2018年1月-2019年1月在该院进行分娩的产妇100例,根据产妇的入院时间随机分为对照组与观察组各50例,对照组在产妇活跃期行椎管内阻滞麻醉分娩镇痛,观察组在产妇潜伏期行椎管内阻滞麻醉分娩镇痛,将两组产妇的产程时间、并发症发生率、疼痛程度、自然顺产率及新生儿窘迫发生率进行比较。结果观察组产妇中重度疼痛率为36%,明显低于对照组产妇的56%,差异有统计学意义(χ~2=8.052,P=0.005),观察组新生儿窘迫发生率为6%,明显低于对照组的22%,差异有统计学意义(χ~2=10.631,P=0.001),观察组产妇产后并发症发生率为4%,明显低于对照组产妇的12%,差异有统计学意义(χ~2=4.348,P=0.037),观察组产妇第一、第二产程时间分别为(436.25±100.74)min与(63.92±9.76)min,明显短于对照组的(574.96±112.71)min与(78.64±11.07)min,差异有统计学意义(t=6.488、7.053,P=0.001、0.001),且观察组产妇的自然顺产率为94%,明显高于对照组的72%,差异有统计学意义(χ~2=17.151,P=0.001)。结论在产妇潜伏期时行椎管内阻滞麻醉分娩镇痛,可保障整个分娩过程中的安全性,值得推广应用。

Objective Convenient select to analyze the influence of intraspinal anesthesia on pregnant outcome and neonatal prognosis during latent period. Methods 100 cases of women who delivered in the hospital from January 2018 to January 2019 were randomLy divided into the control group and the observation group, each with 50 cases. The control group received anesthesia during spinal canal anesthesia during the active parturition period, childbirth analgesia, observation group underwent spinal canal anesthesia anesthesia during labor incubation period. The labor time, complications, pain rate,natural birth rate and neonatal distress were compared between the two groups. Results The maternal pain rate in the observation group was 36%, which was significantly lower than the 56% in the control group(χ~2=8.052, P =0.005). The incidence of neonatal distress in the observation group was 6%, which was significantly lower than the control group’s 22%,the difference was statistically significant(χ~2=10.631, P=0.001), the incidence of postpartum complications in the observation group was 4%, which was significantly lower than the control group’s 12%,the difference was statistically significant(χ~2=4.348, P=0.037). The second labor time was(436.25±100.74) min and(63.92±9.76) min, which were significantly shorter than the control group’s(574.96±112.71) min and(78.64±11.07)min,the difference was statistically significant(t=6.488,7.053, P=0.001,0.001), and the natural maternity rate of mothers in the observation group was 94%, which was significantly higher than 72% in the control group,the difference was statistically significant(χ~2=17.151, P =0.001). Conclusion Intraspinal block anesthesia for labor analgesia during the latent period of puerpera can ensure the safety of the whole delivery process, and it is worth popularizing and applying.