氧化亚氮吸入性分娩镇痛的临床观察

Clinical Study on Analgesic Labor with Inhaling Laughing Gas

为探讨氧化亚氮(笑气)吸入性分娩镇痛对产痛、产程长短、胎儿及分娩方式的影响,将100例初产妇随机分为观察组和对照组。对照组除了不给笑气吸入外,其他产科处理措施与观察组相同。观察比较2组的产程疼痛程度、产程长短、分娩方式、胎儿、新生儿Apgar评分和产后出血量等。结果:观察组的阵痛评分显著低于对照组(P<0.01);观察组的活跃期明显短于对照组(P<0.05);观察组的总产程短于对照组,但统计学处理无显著性意义(P>0.05)。结果提示:笑气吸入性分娩镇痛的镇痛效果好,能缩短活跃期,对母儿无不良影响,简单方便,产妇乐于接受,是一种理想的分娩镇痛方法。

The objective was to study the efficiency of inhaling laughing gas for labor pains, delivery processes, delivery ways and its effects on mother and fetus. 100 primiparas were randomly divided into the observational group and the control group. The control group was given the same treatments as that in the observational group except inhaling laughing gas. The degrees of labor pains, delivery processes, delivery ways, apgar scores and quantity of intrapartum hemorrhage between the two groups were measured. The score of the labor pains in the observational group was significantly lower than that in the control one (P<0.01). The duration of active phase in the observational group was significantly shorter than that in the control one (P<0.05). The total delivery process in the observational group was shorter than that in the control one (P>0. 05). Conclusions: Analgesic labor with inhaling laughing gas produces a efficient labor pain relief, a shorter duration of active phase and shows no side effects on both mother and fetus, which is effective, simple and easy to be accepted.