摘要
目的 探讨高原地区连续硬膜外镇痛在瘢痕子宫阴道分娩产妇中应用的可行性和安全性。方法 选择2020年7月~2022年6月在我院分娩的瘢痕子宫再次妊娠阴道试产产妇38例做为研究对象,按是否实施镇痛分娩分为观察组(21例)和对照组(17例)两组,观察组产妇行连续硬膜外分娩镇痛,对照组产妇未实施镇痛。记录比较两组产妇阴道分娩率、第一及第二产程时间、出血量和新生儿体重、Apgar评分。结果 观察组产妇阴道分娩率高于对照组,第一产程时间少于对照组,差异有统计学意义(P<0.05)。两组间第二产程时间、出血量、新生儿体重和新生儿Apgar评分比较差异无统计学意义(P>0.05)。结论 高原地区瘢痕子宫产妇分娩应用硬膜外镇痛可适当缩短产程,提高阴道分娩率,对产妇及新生儿无不良影响,是一种安全且有效的镇痛方式,值得在临床中推广。
Objective To explore the feasibility and safety of epidural analgesia in vaginal delivery of parturients with cicatricial uterus.Methods 38 multiparas with scar pregnancy who were trying to give birth vaginally in our hospital from July 2020 to June 2022 were selected as study objects and divided into two groups according to whether analgesia measures were taken or not.21 patients who were treated with epidural analgesia were selected as the observation group,and the other 17 patients who were not treated with epidural analgesia were selected as the control group.The ratio of vaginal delivery,the time of the first-stage and second-stage of labor,blood loss,newborn weight and the Apgar score of neonatal were recorded.Results There were a higher ratio of vaginal delivery and a shorter time for first-stage of labor in the observation group compared with the control group,and there were a significant differences(P<0.05).There were no statistical significance changes among the second-stage of labor,blood loss,newborn weight and the Apgar score of neonatal(P>0.05).Conclusions The application of epidural analgesia in vaginal delivery for parturients with cicatricial uterus can shorten the time of labor stage and eliminate the ratio of vaginal delivery.It is safe for the mother and fetus in high-land area,which is worth to popularize.
作者
徐建国
黄华
黄丽丽
陈雯
柴能珍
Xu Jianguo;Huang Huang;Hua Lili;Chen Wen;Chai Nengzhen(Department of Gynaecology and Obstetrics,General Hospatal of Tibet Military Area,Lasha 850009,China)
出处
《西藏医药》
2023年第3期13-15,共3页
Tibetan Medicine
关键词
硬膜外镇痛
瘢痕子宫
阴道分娩
高原
epidural analgesia
cicatricial uterus
vaginal delivery
high-land area
