摘要
目的:探讨应用椎管神经阻滞麻醉的分娩镇痛效果及对分娩结局的影响。方法:选择2010年7月～2011年9月天津医科大学总医院及武警医学院附属医院产科住院待分娩的初产妇80例。其中观察组40例,临产后行椎管神经阻滞麻醉;非分娩镇痛组(对照组)40例,临产后不行椎管神经阻滞麻醉,两组均严密观察产程进展并给予相应的处理。结果:两组产妇年龄、孕周、身高、头盆评分、体质指数、潜伏期疼痛等级、血压、心率及胎心率差异均无统计学意义(P>0.05),椎管内阻滞麻醉分娩镇痛产妇与非分娩镇痛组相比,疼痛程度、血压、心率、剖宫产率明显降低(P<0.05),器械助产、产后出血发生率及新生儿窒息的发生率无统计学差异。结论:椎管内阻滞麻醉分娩镇痛方法可以安全、有效地减轻产妇在分娩过程中所承受的痛苦,显著降低剖产率,对产程及分娩结局无不良影响,值得临床推广应用。
ObjectiveTo explore the effect of labor anesthesia with intravertebral anesthesia and its impact on delivery outcome.Methods：A total of 80 primiparous women who were awaiting delivery in obstetrical department of general hospital of Tianjin medical university and affiliated hospital of medical college of armed police from July 2010 to September 2011 were selected and divided into two groups.Forty primiparous women in observation group were treated with intravertebral anesthesia;while forty primiparous women in control group were not treated with intravertebral anesthesia;the progression of stages of labor in the two groups were observed closely,and corresponding treatments were performed.Results：There was no statistically significant difference in maternal age,gestational weeks,body height,head basin score,body mass index（BMI）,the grade of pain during latent period,blood pressure,maternal heart rate,and fetal heart rate between the two groups（P0.05）.The grade of pain,blood pressure,heart rate,and cesarean section rate in observation group were statistically significantly lower than those in control group（P0.05）.There was no statistically significant difference in the rate of instrumental delivery,the incidence of postpartum hemorrhage,and the incidence of neonatal asphyxia between the two groups.Conclusion：Intravertebral anesthesia can relieve the pain of parturient women during the stages of labor safely and effectively,reduce the cesarean section rate significantly,which has no adverse impact on the stages of labor and delivery outcome,the method is worthy to be popularized and applied in clinic.
出处
《中国妇幼保健》
CAS
北大核心
2012年第24期3717-3720,共4页
Maternal and Child Health Care of China
关键词
分娩镇痛
椎管神经阻滞
剖宫产
新生儿
Labor anesthesia
Intravertebral anesthesia
Cesarean section
Neonate
