不同时机分娩镇痛对产妇及胎儿的影响

Effects of Labor Analgesia at Different Times on Maternal and Fetal

目的分析不同时机分娩镇痛给产妇、胎儿带来的影响。方法方便选取2019年3—10月期间于该院分娩的450例产妇,以随机数字表法法进行分组,实验组300例,对照组150例。其中实验组在潜伏期或活跃期进行硬膜外分娩镇痛,对照组未采取镇痛处理。组间对比产妇剖宫产率、产妇出血量、各产程时间、疼痛评分、胎儿Apgar评分。结果潜伏期组、活跃期组、对照组的剖宫产率分别为3.33%、5.33%、8.00%,差异有统计学意义(χ2=12.676,P=0.000<0.05)。潜伏期组、活跃期组、对照组的第一产程时间分别为(5.39±1.19)h、(8.38±1.81)h、(10.42±3.83)h,差异有统计学意义(F=5.647,P=0.000<0.05)。潜伏期组、活跃期组、对照组的第二产程时间分别为(1.04±0.24)h、(1.39±0.71)h、(2.49±1.34)h,差异有统计学意义(F=5.971,P=0.000<0.05)。潜伏期组、活跃期组、对照组的出血量分别为(144.49±28.28)mL、(168.02±38.39)mL、(265.29±50.28)mL,差异有统计学意义(F=7.328,P=0.000<0.05)。潜伏期组、活跃期组、对照组的疼痛评分分别为(1.98±0.77)分、(3.28±1.11)分、(8.88±1.16)分,差异有统计学意义(F=6.942,P=0.000<0.05)。潜伏期组、活跃期组、对照组的Apgar评分分别为(9.80±0.20)分、(9.12±0.47)分、(7.43±2.66)分,差异有统计学意义(F=5.466,P=0.006<0.05)。结论为了减少对产妇与胎儿的不良影响,临床应为产妇积极采取硬膜外分娩镇痛,并以潜伏期为最佳时机,以便能最大程度减少产妇出血、减轻产妇疼痛、缩短产妇产程时间,提高产妇顺产率,避免胎儿窒息。

Objective To analyze the effects of labor analgesia at different times on maternal and fetal.Methods A total of 450 maternal women who were delivered in the hospital from March to October 2019 were enrolled in the randomized digital table.There were 300 cases in the experimental group and 150 cases in the control group.The experimental group received epidural labor analgesia during the incubation period or active period,and the control group did not take analgesic treatment.Comparison of maternal cesarean section rate,yield,maternal bleeding,time of labor,pain score,fetal Apgar score.Results The rates of cesarean convenient section in the incubation period,the active period,and the control group were 3.33%,5.33%,and 8.00%,respectively.The differences were statistically significant(χ2=12.676,P=0.000<0.05).The first labor time of the incubation period group,the active period group,and the control group were(5.39±1.19)h,(8.38±1.81)h,and(10.42±3.83)h,and the differences were statistically significant(F=5.647,P=0.000<0.05).The second labor time of the incubation group,the active group,and the control group were(1.04±0.24)h,(1.39±0.71)h,and(2.49±1.34)h,and the differences were statistically significant(F=5.971,P=0.000<0.05).The bleeding volume in the incubation period group,the active period group,and the control group was(144.49±28.28)mL,(168.02±38.39)mL,and(265.29±50.28)mL,and the differences were statistically significant(F=7.328,P=0.000<0.05).The pain scores of the incubation period group,the active period group,and the control group were(1.98±0.77)points,(3.28±1.11)points,(8.88±1.16)points,and the differences were statistically significant(F=6.942,P=0.000<0.05).Apgar scores for the incubation period group,active period group,and control group were(9.80±0.20)points,(9.12±0.47)points,(7.43±2.66)points,and the differences were statistically significant(F=5.466,P=0.006<0.05).Conclusion In order to reduce the adverse effects on maternal and fetal,the clinic should actively adopt epidural labor analgesia for the mother,and the incubation period is the best time to minimize maternal bleeding,reduce maternal pain,and shorten maternal labor time,improve maternal yield and avoid fetal suffocation.