硬膜外镇痛用于无痛分娩的临床价值研究

Clinical value of epidural analgesia in painless delivery

目的探讨硬膜外镇痛用于无痛分娩的临床价值。方法回顾性分析本院2018年6月至2020年6月收治的108名产妇的临床资料,根据镇痛方法分为对照组和观察组,每组54名。对照组产妇采用常规分娩,未使用镇痛措施,观察组产妇采用硬膜外镇痛实施无痛分娩,比较两组镇痛效果、产程和不良妊娠结局。结果观察组疼痛分级≤1级占比为81.48%,高于对照组的29.63%,差异有统计学意义(P<0.05);观察组活跃期为(4.95±1.18)h,短于对照组的(6.03±1.47)h,差异有统计学意义(P<0.05);两组第二产程比较差异无统计学意义;两组新生儿窒息、胎儿窘迫、产后出血发生率比较差异无统计学意义,观察组尿潴留发生率(5.56%)、剖宫产率(25.93%)低于对照组的(20.37%、46.30%),差异有统计学意义(P<0.05)。结论硬膜外镇痛用于无痛分娩可有效提高镇痛效果,缩短产程,改善不良妊娠结局。

Objective To investigate the clinical value of epidural analgesia in painless delivery.Methods The clinical data of 108 parturients admitted in our hospital from June 2018 to June 2020 were analyzed retrospectively,and they were divided into control group and observation group according to analgesic methods,with 54 cases in each group.The control group parturients used routine delivery without analgesic measures,while the observation group parturients used epidural analgesia to implement painless delivery.The analgesic effect,labor process and pregnancy outcome of the two groups were compared.Results The proportion of pain grade≤1 in the observation group was 81.48%,which was higher than 29.63%in the control group(P<0.05);The active period of the observation group was(4.95±1.18)h,which was shorter than that of the control group(6.03±1.47)h,and the difference was statistically significant(P<0.05);Tthere was no significantly different in the second stage of labor between two groups;there was no significantly different in incidence of neonatal asphyxia,fetal distress and postpartum hemorrhage between two groups.The incidence of urinary retention(5.56%)and cesarean section rate(25.93%)in the observation group were lower than those in the control group(20.37%,46.30%),and the difference was statistically significant(P<0.05).Conclusion Epidural analgesia for painless delivery can effectively improve the analgesic effect,shorten the labor process and improve the adverse pregnancy outcome.