无痛分娩在初产妇中的应用价值

The application value of painless delivery in primipara

目的:研究无痛分娩用于初产妇中的临床价值。方法:2019年10月-2021年2月收治初产妇760例,随机数字法分为两组,各380例。对照组接受常规自然分娩,观察组接受无痛分娩,比较两组产妇分娩效果、母婴围产期结局、各产程时间及不同时间点视觉模拟(VAS)评分。结果:观察组第一产程、第二产程及总产程时间均明显低于对照组,差异有统计学意义(P<0.05);观察组镇痛后10 min、1 h、2 h、6 h及12 h的VAS评分均明显低于对照组,差异有统计学意义(P<0.05);观察组中转剖宫产率和会阴Ⅰ/Ⅱ度裂伤发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论:无痛分娩能明显减轻初产妇分娩期间疼痛,减轻初产妇机体应激反应程度,改善母婴分娩结局,优化分娩产程时间。

Objective:To study the clinical value of painless delivery in primiparous women.Methods:From October 2019 to February 2021,760 primiparous women were selected,they were divided into the two groups by random number method with 380 cases in each group.The control group received routine natural childbirth.The observation group received painless childbirth.We compared the delivery effect,the maternal and infant perinatal outcome,the time of each labor process and the visual simulation(VAS)scores at different time points between the two groups were compared.Results:The first stage of labor,second stage of labor,and total labor time of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).The VAS scores of the observation group at 10 min,1 h,2 h,6 h and 12 h after analgesia were significantly lower than those of the control group,the difference was statistically significant(P<0.05).The rate of transition to cesarean section and the incidence of perinealⅠ/Ⅱdegree laceration in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Painless delivery can significantly reduce the pain during delivery of the primipara,reduce the stress response of the primipara,improve the outcome of the mother-to-child delivery,and optimize the delivery time.