无痛分娩改善母婴结局的效果分析

Analysis of the Effect of Painless Delivery on Improving Maternal and Infant Outcomes

目的 分析在产妇分娩过程中采取无痛分娩技术对母婴结局的影响。方法 选择2021年1-12月睢宁县妇幼保健院收治的初产妇60名为研究对象,采取随机数表法分为两组,各30名;对照组采取常规分娩,观察组采取无痛分娩。对比两组产程时间、临床指标以及母婴结局。结果 观察组第一、二、三及总产程时间分别为(310.00±100.10)、(51.20±34.40)、(9.11±1.39)、(370.33±102.17)min,均短于对照组的(572.83±147.33)、(85.57±49.34)、(10.40±2.73)、(667.80±166.44)min,差异有统计学意义(t=8.082、3.130、2.306、8.343,P<0.05)。观察组产妇各临床指标(VAS评分、产时出血量、泌乳时间、下床时间、住院时间、分娩后5 min Apgar评分)均优于对照组,差异有统计学意义(t=17.759、11.688、3.947、7.799、8.862、2.441、14.146,P<0.05)。观察组不良结局发生率为6.67%,低于对照组的26.67%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论 在产妇分娩过程中,采取无痛分娩技术可有效缩短产妇产程及术后恢复时间,并有效改善产妇疼痛程度、各项临床指标以及母婴结局,值得推广。

Objective To analyze the effect of painless delivery techniques on maternal and infant outcomes during maternal delivery.Methods A total of 60 primiparous women admitted to the Suining County Maternal and Child Health Hospital from January to December 2021 were selected as the research subjects,and they were divided into two groups by random number table method,30 primiparous in each group;the control group was given routine delivery,and the observation group was given painless delivery intervention.The duration of labor,clinical indicators,and maternal and infant outcomes were compared between the two groups.Results The first,second,third and total labor time in the observation group were(310.00±100.10) min,(51.20±34.40) min,(9.11±1.39) min,(370.33±102.17) min respectively,which were shorter than those in the control group(572.83±147.33) min,(85.57±49.34) min,(10.40±2.73) min,(667.80±166.44) min,the difference was statistically significant(t=8.082,3.130,2.306,8.343,P<0.05).The clinical indicators(VAS score,intrapartum hemorrhage,lactation time,getting out of bed,hospital stay,Apgar score 5 min after delivery) in the observation group were better than those in the control group,the difference was statistically significant(t=17.759,11.688,3.947,7.799,8.862,2.441,14.146,P<0.05).The incidence of adverse outcomes in the observation group was 6.67%,which was lower than 26.67% in the control group,the difference was statistically significant(χ^(2)=4.320,P<0.05).Conclusion In the process of maternal labor,the use of painless delivery techniques can effectively shorten the labor process and postoperative recovery time,and can effectively improve the degree of maternal pain,various clinical indicators and maternal and infant outcomes,which is worthy of promotion.