新产程标准下全产程分娩镇痛在初产妇中的应用价值

目的分析新产程标准下单胎足月初产妇实施全产程分娩镇痛对其分娩产程过程及结局的影响。方法回顾性分析2021年8月至2023年8月安庆市立医院产科收治的360例单胎足月初产妇的临床资料,根据使用的不同产程分娩镇痛方法分为观察组(全产程分娩镇痛分娩,n=180)与对照组(第一产程分娩镇痛分娩,n=180)。比较两组最终分娩方式、不同产程阶段疼痛程度情况以及母婴结局情况。结果两组自然阴道分娩率、中转剖宫产率、人工破膜率、会阴裂伤率及产后出血率比较,差异有统计学意义(P<0.05)。观察组第二产程和第三产程视觉模拟评分(VAS)低于对照组,差异有统计学意义(P<0.05)。两组新生儿结局比较,差异均无统计学意义(P>0.05)。结论新产程标准下采用全产程分娩镇痛能够提高自然分娩率且有效缓解产妇全产程疼痛及降低不良母婴结局发生率,在临床上可以有效安全地应用于单胎足月初产妇。

Objective To analyse the effect of full-term labour analgesia on the labour process and outcome of single full-term primigravid women under the new labour standard.Methods The clinical data of 360 singleton full-term primigravid women admitted to the Department of Obstetrics of Anqing Municipal Hospital from August 2021 to August 2023 were retrospectively analysed,and divided into an observation group(full-labour labour analgesia,n=180)and a control group(first-labour labour analgesia,n=180)according to the different methods of labour analgesia used.The two groups were compared in terms of the final mode of delivery,the degree of pain in different stages of labour and the outcome of mother and baby.Results Comparison of the rates of natural vaginal delivery,forceps-assisted delivery,intermediate cesarean section,artificial rupture of membranes,perineal laceration and postpartum haemorrhage between the two groups was statistically significant(P<0.05).The visual analogue score(VAS)of the second and third stages of labour in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Comparison of relevant indicators of newborns in the two groups,the difference was not statistically significant(P>0.05).Conclusion The use of total labour analgesia can increase the rate of spontaneous delivery and effectively relieve maternal pain during the whole labour process and reduce the incidence of adverse maternal and infant outcomes,and can be effectively and safely applied to singleton term primigravid women in clinical practice.