自控镇痛无痛分娩联合会阴无保护方案对产后盆底组织功能的影响

Analysis of the effect of self-controlled analgesia and painless delivery combined with yin and no protection on postpartum pelvic floor tissue function

目的探究将自控镇痛无痛分娩联合会阴无保护方案进行分娩的效果分析,对女性产后盆底组织功能造成的影响探究其可应用性。方法对2018年8月-2019年4月间该院收治的正常妊娠的阴道分娩健康产妇的一般资料进行回顾性分析,根据研究要求选择其中120例患者纳为研究对象开展研究,将其采用计算机随机分组法分为研究组和对照组,每组均纳入60例患者。对照组患者单纯应用常规阴道分娩方案,研究组产妇则选择无保护会阴分娩方案。同时研究组患者则在此基础上进行硬膜外麻醉,对照组患者则不对患者进行任何额外处理。记录所有患者术后镇痛期间的不良反应发生情况以及患者的VAS疼痛评分和RSS镇静评分。结果在镇痛期间,两组患者均有不同程度的治疗并发症,主要以低热、过敏以及镇痛效果不佳等,研究组患者的不良反应发生率(13.33%)低于对照组患者的(36.67%),差异有统计学意义(χ2=14.526 8,P=0.000 1),同时研究组患者的VAS评分以及RSS评分优于对照组,差异有统计学意义(P<0.05)。同时两组患者的肌力检测状况以及POPIQ-7,研究组患者的波动状况较对照组更不明显,并且在发生波动后,研究组患者的恢复状况也优于对照组,差异有统计学意义(P<0.05)。结论在健康产妇进行会阴无保护阴道分娩时,应用硬膜外麻醉的方式进行镇痛,有助于维护患者心血管稳定,对于降低患者并发症发生有积极意义,同时也能够有效改善患者的术后疼痛状况和镇痛状况,具有较高的应用价值,值得推广使用。

Objective To investigate the effect of self-controlled analgesia and painless delivery combined with vaginal unprotected regimen for childbirth,and to explore the applicability of the effects of postpartum pelvic floor tissue function in women.Methods The general data of patients who chose vaginal delivery program for healthy pregnant women who were treated indirectly from August 2018 to April2019 in our hospital were reviewed and analyzed.According to the experimental requirements,120 patients were selected for the study and the experiment will be carried out.The patients were divided into experimental group and control group by computer randomization method,and each group included 60 patients.In the control group,patients in the experimental group were treated with conventional vaginal delivery,and the control group was given a traditional vaginal delivery program.The women in the experimental group were given an unprotected perineal delivery program.At the same time,patients in the experimental group underwent epidural anesthesia,and patients in the control group did not receive any additional treatment.The incidence of adverse events during postoperative analgesia was recorded for all patients as well as the patient’s VAS pain score and RSS sedation score.Results During analgesia,both groups of patients had different degrees of treatment complications,mainly due to low fever,allergies,and poor pain.The incidence of adverse reactions in the experimental group was 13.33%,which was lower than that of the control group.(36.67%),the data contrast was significant and statistically significant(X2 = 14.5268 P =0.0001),and the VAS score and RSS score of the experimental group were better than the control group,and the data were significantly different and statistically significant(P<0.05).At the same time,the muscle strength test status and POPIQ-7 of the two groups of patients,the fluctuation of the experimental group was less obvious than the control group,and after the fluctuation,the recovery of the experimental group was also better than the control group,the data contrast was significant and Statistically significant(P<0.05).Conclusion The use of epidural anesthesia for analgesia in healthy maternal unprotected vaginal delivery can help maintain cardiovascular stability,positively reduce the incidence of complications,and improve patients’ Postoperative pain status and analgesia have high application value and are worthy of promotion.