硬膜外分娩镇痛对产程及分娩结局的影响(1)
【摘要】 目的：探讨硬膜外分娩镇痛方式对产妇产程及分娩结局的影响。方法：选取2018年9月-2019年9月于笔者所在医院产科进行分娩的产妇180例为研究对象，按照随机数字表法分成研究组和对照组，每组90例。研究组给予硬膜外分娩镇痛，对照组未给予分娩镇痛。对两组不同时点VAS评分、各产程时间、出血量、胎儿体质量、新生儿Apgar评分和分娩结局进行观察和比较。结果：研究组镇痛后不同时点VAS评分均低于对照组，差异均有统计学意义(P<0.05);研究组第一、二产程时间均短于对照组，差异均有统计学意义(P<0.05)。两组出血量、胎儿体质量和新生儿Apgar评分比较，差异均无统计学意义(P>0.05)。对照组剖宫产率为20.00%，高于研究组的6.67%，差异有统计学意义(P<0.05)。结论：在产妇分娩过程中采用硬膜外分娩镇痛能够有效缩短产程时间，显著改善疼痛程度，在降低剖宫产率的同时不会对分娩结局产生影响，是分娩过程中的理想的镇痛方式之一。
【关键词】 硬膜外分娩镇痛 產程 分娩结局
doi：10.14033/j.cnki.cfmr.2020.17.014 文献标识码 B 文章编号 1674-6805(2020)17-00-03
Effects of Epidural Labor Analgesia on Parturition and Delivery Outcomes/HUANG Yu， CHEN Hao. //Chinese and Foreign Medical Research， 2020， 18(17)： -38
[Abstract] Objective： To explore the effects of epidural labor analgesia on parturition and delivery outcomes. Method： A total of 180 women who gave birth in the obstetrics department of the author’s hospital from September 2018 to September 2019 were selected as the research subjects. According to the random number table method， women were divided into the study group and the control group， and 90 cases in each group. The study group was given epidural labor analgesia， while the control group were not given labor analgesia. The VAS score at different time points， time of labor， bleeding volume， fetal weight， newborn Apgar score and delivery outcome of the two groups were observed and compared. Result： After analgesia， the VAS scores at different time points of the study group were lower than those of the control group， and the differences were statistically significant (P<0.05). The time of the first and second stages of labor in the study group were shorter than those of the control group， and the differences were statistically significant (P<0.05). The bleeding volume， fetal weight， newborn Apgar score were compared between the two groups， and the differences were not statistically significant (P>0.05). The cesarean section rate in the control group was 20.00%， which was higher than 6.67% of the study group， and the difference was statistically significant (P<0.05). Conclusion： In the process of labor， the use of epidural labor analgesia can effectively shorten labor time， significantly improve pain， and reduce the cesarean section rate without affecting the delivery outcomes. It is one of the ideal analgesic methods in the process of labor.
[Key words] Epidural labor analgesia Parturition Delivery outcomes
First-author’s address： Fujian Provincial Hospital， Fuzhou 350001， China, 百拇医药(黄瑜 陈豪)
【关键词】 硬膜外分娩镇痛 產程 分娩结局
doi：10.14033/j.cnki.cfmr.2020.17.014 文献标识码 B 文章编号 1674-6805(2020)17-00-03
Effects of Epidural Labor Analgesia on Parturition and Delivery Outcomes/HUANG Yu， CHEN Hao. //Chinese and Foreign Medical Research， 2020， 18(17)： -38
[Abstract] Objective： To explore the effects of epidural labor analgesia on parturition and delivery outcomes. Method： A total of 180 women who gave birth in the obstetrics department of the author’s hospital from September 2018 to September 2019 were selected as the research subjects. According to the random number table method， women were divided into the study group and the control group， and 90 cases in each group. The study group was given epidural labor analgesia， while the control group were not given labor analgesia. The VAS score at different time points， time of labor， bleeding volume， fetal weight， newborn Apgar score and delivery outcome of the two groups were observed and compared. Result： After analgesia， the VAS scores at different time points of the study group were lower than those of the control group， and the differences were statistically significant (P<0.05). The time of the first and second stages of labor in the study group were shorter than those of the control group， and the differences were statistically significant (P<0.05). The bleeding volume， fetal weight， newborn Apgar score were compared between the two groups， and the differences were not statistically significant (P>0.05). The cesarean section rate in the control group was 20.00%， which was higher than 6.67% of the study group， and the difference was statistically significant (P<0.05). Conclusion： In the process of labor， the use of epidural labor analgesia can effectively shorten labor time， significantly improve pain， and reduce the cesarean section rate without affecting the delivery outcomes. It is one of the ideal analgesic methods in the process of labor.
[Key words] Epidural labor analgesia Parturition Delivery outcomes
First-author’s address： Fujian Provincial Hospital， Fuzhou 350001， China, 百拇医药(黄瑜 陈豪)