摘要
目的分析和研究无痛分娩对母胎的影响。方法 85例分娩初产妇,按有无分娩镇痛分为无痛分娩组(45例)与对照组(40例)。其中所选产妇均为自然临产,对比两组产妇第一及第二产程所用时间、宫缩乏力、产后出血量、新生儿窒息、剖宫产、产后尿潴留发生情况。结果无痛分娩组第一产程时间为(517.08±56.69)min,剖宫产发生率为13.33%;对照组第一产程时间为(580.500±84.257)min,剖宫产发生率为32.50%,无痛分娩组第一产程及剖宫产发生率均明显优于对照组(P<0.05)。无痛分娩组宫缩乏力为20.0%、产后尿潴留发生率为15.6%,均高于对照组的2.5%、2.5%,差异具有统计学意义(P<0.05)。两组第二产程时间、产后2 h出血量及新生儿窒息发生率对比差异无统计学意义(P>0.05)。结论无痛分娩可加速第一产程、降低剖宫产率,而产时宫缩乏力发生率明显升高,催产素的使用增加,产后尿潴留的发生率增加。
Objective To analyze and research influence by painless labor on mother and fetus. Methods A total of 85 primipara were divided by their labor analgesia into painless labor group（45 cases） and control group（40 cases）. All primipara had spontaneous labor. Comparison was made on first and second stages of labor time, uterine inertia, postpartum bleeding volume, neonatal asphyxia, cesarean section and postpartum uroschesis status between the two groups. Results The painless labor group had first stage of labor as（517.08±56.69） min and incidence of cesarean section as 13.33%. The control group had first stage of labor as（580.500±84.257） min and incidence of cesarean section as 32.50%. The painless labor group had obviously better first stage of labor and incidence of cesarean section than the control group（P〈0.05）. The painless labor group had incidence of uterine inertia as 20.0% and incidence of postpartum uroschesis as 15.6%, which were all higher than 2.5% and 2.5% in the control group, and their difference had statistical significance（P〈0.05）. There was no statistically significant difference of second stage of labor, incidences of 2 h postpartum bleeding volume and neonatal asphyxia between the two groups（P〉0.05）. Conclusion Painless labor can accelerate first stage of labor and reduce incidence of cesarean section, however it leads to remarkably increased incidence of intrapartum uterine inertia, dose of oxytocin and incidence of postpartum uroschesis.
出处
《中国实用医药》
2017年第1期50-52,共3页
China Practical Medicine
关键词
无痛分娩
产程
宫缩乏力
尿潴留
Painless labor
Stage of labor
Uterine inertia
Uroschesis
