硬膜外阻滞麻醉用于无痛分娩临床效果观察

Clinical Observation of Epidural Block Anesthesia for Painless Labor

目的探究硬膜外阻滞麻醉用于无痛分娩临床效果和对产程进展及母婴状况的影响。方法对照组未予任何镇痛方法,观察组予以PECA泵持续硬膜外腔给药镇痛,观察对比两组镇痛效果、产程、分娩方式及妊娠结局。结果观察组整体疼痛强度明显低于对照组,比较有统计学意义,P<0.05。观察组产妇第一产程和第二产程均短于对照组,P<0.05。观察组顺产率为80.0%,明显高于对照组的60.5%,P<0.05;观察组阴道助产率、剖宫产率均分别为16.5%、3.5%,均低于对照组的24.5%、15.0%,组间比较有统计学意义,P<0.05。两组产妇产后出血率、胎儿宫内窘迫率及新生儿窒息率比较无显著差异,P>0.05。结论对分娩产妇开展硬膜外阻滞麻醉可取得满意的镇痛效果,还可缩短产程,促进分娩,降低剖宫产率,并可最大限度保障母婴安全。

Objective To explore the clinical effect of epidural block anesthesia for painless labor and its effect on labor progress and maternal and infant status. Methods control group had not any analgesic methods, observation group be pump of PECA continuous epidural analgesia, to observe the analgesic effects of two groups were compared, labor process, mode of delivery and pregnancy outcome. Results the overall analgesic intensity of the observation group was significantly lower than that of the control group, the comparison was statistically significant, P<0.05. The observation group were the first stage and second stage of labor was shorter than the control group, P<0.05. Observed rate of spontaneous delivery group was 80.0%, significantly higher than the control group of 60.5%, P<0.05). Observation group and vaginal delivery rate, cesarean section rate are respectively 16.5%, 3.5%, was lower than that in the control group of 24.5%, 15.0%, between groups is statistically significant, P<0.05). There was no significant difference in the rate of postpartum hemorrhage, fetal distress rate and neonatal asphyxia rate between the two groups, P>0.05. Conclusion the epidural block anesthesia can achieve satisfactory analgesia effect, but also shorten the labor process, promote labor, reduce the rate of cesarean section, and can maximize the protection of maternal and child safety.