无痛分娩对产程及妊娠结局影响的临床分析

Clinical Analysis of the Effect of Painless Delivery on Labor Process and Pregnancy Outcome

目的 分析无痛分娩对产程、妊娠结局的影响。方法 选取2019年1月—2020年12月该院分娩的产妇200名作为研究对象,将产妇分为对照组(100名,常规分娩)和观察组(100名,无痛分娩),比较两组疼痛感(重度疼痛、中度疼痛、轻度疼痛、无痛)、产程时间(第一产程、第二产程、第三产程、总产程)、产后出血量、疼痛评分、Apgar评分、妊娠结局(产后出血率、剖宫产率、新生儿窒息率)及分娩满意度。结果 相较于对照组,观察组镇痛效果更好,产程时间更短,产后出血量更少,疼痛评分更低,差异有统计学意义(Z=8.365,t=31.162、11.099、11.206,P<0.05);观察组2名产妇中转剖宫产(2.00%),对照组14名产妇中转剖宫产(14.00%),两组比较差异有统计学意义(χ^(2)=9.783,P=0.002);观察组产后出血率和新生儿窒息率更低,差异有统计学意义(χ^(2)=22.682、8.000,P<0.05);观察组总满意度高于对照组,差异有统计学意义(χ^(2)=10.865,P=0.001)。结论 产妇选择无痛分娩的方式,效果显著,可减轻分娩疼痛,缩短产程,减少产后出血量,改善妊娠结局,分娩满意度更高,值得推广。

Objective To analyze the effect of painless delivery on labor process and pregnancy outcome.MethodsA total of 200 pregnant women who delivered from January 2019 to December 2020 were selected as a research objects,and divided into the control group(100 pregnant,routine delivery) and the observation group(100 pregnant,painless delivery).The pain(severe pain,moderate pain,mild pain,no pain),labor time(first stage,second stage,third stage,total labor),postpartum bleeding volume,pain score,Apgar score,pregnancy outcomes(postpartum hemorrhage rate,cesarean section rate,neonatal asphyxia rate),and delivery satisfaction were compared between the two groups.ResultsCompared with the control group,the analgesic effect of the observation group was better,the labor time was shorter,the postpartum hemorrhage was less,and the pain score was lower,the difference was statistically significant(Z=8.365,t=31.162,11.099,11.206,P<0.05).There were two pregnant of puerperae in the observation group who were converted to cesarean section(2.00%),and 14 pregnant of puerperae in the control group who were converted to cesarean section(14.00%),the difference was statistically significant between the two groups(χ~2=9.783,P=0.002).The rates of postpartum hemorrhage and neonatal asphyxia in the observation group were lower,the difference was statistically significant(χ~2=22.682,8.000,P<0.05).The total satisfaction of the observation group was higher than the control group,andthe difference was statistically significant(χ~2=10.865,P=0.001).ConclusionPainless delivery for puerperae has a significant effect,which can reduce labor pain,shorten labor process,reduce postpartum hemorrhage,improve pregnancy outcome,and have higher delivery satisfaction,which is worthy of promotion.