连续硬膜外麻醉对无痛分娩产妇产程、分娩方式的影响

Effect of continuous epidural anesthesia in painless labor on the process and mode of delivery of parturients

目的探讨连续硬膜外麻醉对无痛分娩产妇产程与分娩方式的影响。方法选择2020年1月至2021年1月郑州大学第五附属医院收治的190例分娩产妇,按照随机数字表法分为两组,对照组分娩期间不予以镇痛干预,观察组则予以连续硬膜外麻醉无痛分娩。比较两组镇痛效果、分娩方式、产程时间、并发症发生情况。结果观察组产妇镇痛有效率明显高于对照组,第一产程与第二产程短于对照组,自然分娩率高于对照组,并发症发生率更低,组间差异有统计学意义(P <0.05),但第三产程比较,差异未见统计学意义(P>0.05)。结论连续硬膜外麻醉应用在无痛分娩中可缩短第一产程与第二产程,减轻分娩期间疼痛,提高自然分娩率,且可减少并发症发生。

Objective To investigate the effect of continuous epidural anesthesia in painless delivery on the process of parturient and delivery methods. Methods A total of 190 delivery women admitted to the Fifth Affiliated Hospital of Zhengzhou University from Jan 2020 to Jan 2021 were divided into two groups according to the random number table method. The control group received no analgesia intervention during delivery,and the observation group received continuous epidural anesthesia for painless delivery. The analgesic effects,delivery methods,labor time,and complications were compared between the two groups. Results The effective rate of maternal analgesia in the observation group was significantly higher than that of the control group,the first and second stages of labor were shorter than those of the control group,the natural delivery rate was higher in the observation group than that of the control group,the complication rate was lower in the observation group,and the differences between the two groups were significant( P < 0. 05). But there was no significant difference in the third stage of labor between the two groups( P > 0. 05). Conclusions The application of continuous epidural anesthesia in painless delivery can shorten the first and second stages of labor,reduce pain during delivery,increase the rate of natural delivery,and reduce complications.