699例分娩鎮痛的臨床分析

Clinical analysis of 699 cases underwent epidural analgesia during labour

目的討論初産婦自然分娩和不同時機開始實施硬膜外分娩鎮痛的結局。方法回顧分析2009~2010年共2年間本院初産婦的分娩記錄資料,按是否實施分娩鎮痛及開始實施硬膜外分娩鎮痛的時機不同分爲3組,無分娩鎮痛的1,775例爲對照組,活躍期開始實施分娩鎮痛的403例爲觀察Ⅰ組,潛伏期開始實施分娩鎮痛的296例爲觀察Ⅱ組。結果活躍期開始實施分娩鎮痛的産婦順産率最高,潛伏期開始實施分娩鎮痛的産婦順産率次之,無分娩鎮痛的産婦順産率最低,各組間差別具有顯著性(p<0.05)。結論施行分娩鎮痛可以提高順産率,活躍期開始實施分娩鎮痛産婦的順産率最高。

Objective To assess the outcome of normal delivery in primipara undergoing epidural analgesia in different stages of labour.Methods Retrospective study of delivery record from 2009 to 2010 of Kiang Wu Hospital.Patient were classified into 3 groups,1775 cases as control group with no analgesic treatment during all stages of delivery,403 cases as Group I who underwent epidural analgesia in active phase of first stage of labour,296 cases as Group II who underwent epidural analgesia during latent phase of first stage of labour.Results Ratio of natural birth in Group II were highest who underwent epidural analgesia in active phase of first stage of labour,in control group were lowest where no analgesic treatment were given.There was significant difference between three groups(p<0.05).Conclusion Primipara receiving epidural analgesia during delivery can increase the ratio of natural birth,especially when applied in active phase of labour.