无痛分娩对产程潜伏期延长倾向者母婴结局、产后恢复的影响

Effect of Painless Delivery on Maternal and Infant Outcomes and Postpartum Recovery in Patients with Prolonged Labor Latency

目的:探讨无痛分娩在产程潜伏期延长倾向者中的应用效果。方法:选择2023年1月—2024年4月我院收治的产程潜伏期延长倾向产妇60例,按随机数字表法分为两组,各30例。对照组实施常规分娩,观察组实施无痛分娩,对比两组产程时间、分娩疼痛感、疼痛应激水平、母婴结局、产后恢复。结果:观察组各产程时间均短于对照组,差异有统计学意义(P<0.05);观察组镇痛后分娩疼痛感评分低于对照组,去甲肾上腺素(NE)、皮质醇(COR)、促肾上腺皮质激素(ACTH)水平均低于对照组,差异均有统计学意义(P<0.05);观察组不良母婴结局发生率低于对照组,产后恢复时间均短于对照组,差异有统计学意义(P<0.05)。结论:无痛分娩在产程潜伏期延长倾向者中具有较好的应用效果,利于缩短产程时间、减轻分娩疼痛感与疼痛应激,改善母婴结局,加快产后康复速度。

Objective:Exploring the application effect of painless delivery in individuals with a tendency to prolong the latent period of labor.Methods:Select 60 cases of pregnant women with a tendency towards prolonged latent period of labor admitted to our hospital from January 2023 to April 2024, and divide them into two groups of 30 cases each using a random number table method. The control group was given conventional delivery, and the observation group was given painless delivery. Compare the duration of labor, labor pain, pain stress levels, maternal and infant outcomes, and postpartum recovery between two groups.Results: Observation group’s duration of each stage of labor was shorter than control group’s, with statistical difference ( P <0.05);Observation group’s pain score during childbirth after analgesia was lower than control group’s, and the levels of norepinephrine (NE), cortisol (COR), and adrenocorticotropic hormone (ACTH) were all lower than control group’s, with statistical significance ( P <0.05);Observation group’s incidence of adverse maternal and infant outcomes was lower than control group’s, and the postpartum recovery time was shorter than control group’s, with statistical significance ( P <0.05).Conclusion: Painless delivery has a good application effect in those who tend to prolong the latent period of labor, which is conducive to shortening the labor process time, reducing labor pain and pain stress, improving maternal and infant outcomes, and accelerating postpartum recovery speed.