摘要
目的探讨腰-硬联合阻滞分娩镇痛方式对初产妇在产程进展及产时发热的影响,为临床实践提供理论依据。方法回顾性分析2020年12月—2021年12月在广州市某三甲医院产科分娩产妇535例的基本资料。观察组(285例)采用腰-硬联合阻滞麻醉分娩镇痛,对照组(250例)选择常规无干预分娩。结果观察组中的产妇第一产程和第二产程的时间比对照组更长,且产后2 h出血量高于对照组,差异有统计学意义(P<0.05),除此之外,2组产妇产时发热率比较差异也有统计学意义(P<0.01)。结论腰硬联合阻滞分娩镇痛在一定程度上会延长产程,且产后2 h的出血量较多,同时也会增加产时发热的概率,存在一定不良反应,故需要密切观察,保证母儿安全。
Objective To investigate the effect of combined spinal-epidural block anesthesia on the progress of labor and intrapartum fever in primipara,and to provide a theoretical basis for clinical practice.Methods The basic data of 535 pregnant women who gave birth in the obstetrics department of a tertiary hospital in Guangzhou from December 2020 to December 2021 were retrospectively analyzed.The observation group(285 cases)was given labor analgesia,and the control group(250 cases)was given routine non-intervention delivery.Results The time of the first stage of labor and the second stage of labor in the observation group was significantly longer than that in the control group,and the bleeding volume 2 hours after delivery was higher than that in the control group,and the difference was statistically significant(P<0.05).The maternal fever rate during delivery also had statistical significance(P<0.01).Conclusions Combined spinal-epidural block anesthesia will prolong the labor process to a certain extent,and the amount of bleeding in 2 hours after delivery will be more,and it will also increase the probability of intrapartum fever,with certain adverse reactions.Therefore,close observation is needed to ensure the mother and child safety.
作者
林映迎
林岸芸
亓彩霞
LIN Yingying;LIN Anyun;QI Caixia(The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)
出处
《广州医药》
2023年第6期46-51,共6页
Guangzhou Medical Journal
关键词
腰硬联合分娩镇痛
初产妇
产程
产时发热
combined spinal-epidural analgesia
primipara
labor
intrapartum fever