硬膜外镇痛分娩产前发热临床探讨

Clinical Study of Prenatal Epidural Analgesia with Prenatal Fever

目的探讨硬膜外镇痛分娩产前发热对人工干预产程、分娩方式、母婴预后的影响。方法选取江苏省阜宁县人民医院2018年8月至2019年8月收治的24例接受硬膜外镇痛分娩过程中发热产妇进行研究并设为观察组,对其临床资料做回顾性分析。再随机选取接受硬膜外镇痛分娩未发热的24例产妇设为对照组,比较两组产妇人工干预产程(如人工破膜、催产素调整宫缩、手术助产)、胎儿因素中转剖宫产率、羊水污染率、新生儿窒息(Apgar评分)、新生儿转儿科率、产后出血率、产妇产后发热率、产后血常规、CRP值。结果观察组人工干预产程率、胎儿因素中转剖宫产率、羊水污染率显著高于对照组,差异有统计学意义(P<0.05);两组新生儿Apgar评分、新生儿转儿科率、产后出血率、产妇产后发热率、产后血常规、CRP值比较差异无统计学意义(P>0.05)。结论硬膜外镇痛分娩产程中发热引起人工干预产程(如人工破膜、催产素调整宫缩、手术助产)率、胎儿因素剖宫产率上升,但新生儿窒息率、产后出血率、新生儿Apgar评分、新生儿转儿科率、产后出血率、产妇产后感染率并无上升。

Objective To investigate the effects of prenatal fever with epidural analgesia on labor during artificial intervention,labor mode,and prognosis of mother and child.Methods RandomLy selected 24 cases of febrile parturient who received epidural analgesia during delivery from August 2018 to August 2019 in Funing County People's Hospital,as the observation group,and made a retrospective analysis of their clinical data.The control group was randomLy selected for 24 cases of parturient who received epidural analgesia delivery without fever,and compared the labor process of artificial intervention(such as artificial rupture of membrane,oxytocin adjustment of uterine contraction,surgical midwifery),fetal factors transferred to cesarean section rate,amniotic fLuid pollution rate,neonatal asphyxia(Apgar score),neonatal transfer rate,postpartum hemorrhage rate,maternal postpartum fever rate,postpartum blood routine,CRP value comparison.Results The rate of labor duration and fetal factors in observation group were significantly higher than those in control group Results The labor intervention rate,fetal factors,cesarean section rate,and amniotic fLuid contamination rate in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05);neonatal asphyxia(Apgar score),There were no significant differences in pediatric rate,postpartum hemorrhage rate,postpartum fever rate,postpartum blood routine,and CRP values(P>0.05).Conclusion Fever during epidural analgesia during labor has caused the rate of artificial interventions(such as artificial rupture of membranes,oxytocin adjustment of uterine contractions,surgical midwifery),and cesarean delivery of fetal factors.,Neonatal asphyxia(Apgar score),neonatal transfer to pediatric rate,postpartum hemorrhage rate,and postpartum infection rate did not increase.