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无痛分娩在产科的应用研究 被引量:38

Application research of painless childbirth in obstetrics
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摘要 目的 :研究无痛分娩法用于分娩镇痛的疗效和对母婴的影响。方法 :将2013年4月~2015年5月在我院分娩无产科及内科并发症的产妇随机抽取400例,将自愿要求行镇痛分娩者予采用硬膜外麻醉分娩镇痛分为试验组200例和未用任何止痛措施地对照组各200例.观察无痛分娩对产程中镇痛效果、产程时间、出血情况、分娩并发症及对新生儿的影响。结果 :无痛分娩组第一产程、第二产程及总产程用时均明显短于常规分娩组,两组比较具有统计学意义,观察组镇痛总有效率明显高于对照组,差异有统计学意义,与对照组比较,观察组助产率、剖宫产率组间差异有统计学有意义,而产后2h出血量、住院时间、胎儿窘迫及新生儿窒组间比较无显著性差异。结论 :无痛分娩法镇痛效果良好,对母婴无不良影响,安全、有效、值得推广。 Objective To study the efficacy and impact of painless childbirth for labor analgesia on maternal and child. Methods From April 2013 to May 2015 in our hospital obstetric and childbirth without medical complications of maternal randomly selected 400 cases, will voluntarily request line analgesic deliveries to epidural anesthesia for labor analgesia divided into two groups 200 cases and did not use any pain relief measures to control group of 200 cases observed painless childbirth analgesic effect on the production process, labor time, bleeding, childbirth complications and effects on newborns. Results Painless Childbirth Group first stage, the second stage of labor and total labor time was shorter than with conventional delivery group, the two groups was statistically significant,the total efficiency of the observation group was significantly higher analgesic the difference was statistically significant, compared with the control group, the observation group delivery rate, cesarean section rate between groups was statistically significant, and 2h post-partum bleeding, hospital stay, fetal distress and no significant difference among newborns stifled group. Conclusion Painless childbirth analgesic effect is good, no adverse effects on mother and child, safe, effective and worthy of promotion.
出处 《湖南师范大学学报(医学版)》 2015年第5期132-133,共2页 Journal of Hunan Normal University(Medical Sciences)
关键词 无痛分娩 镇痛 产科 应用观察 painless childbirth analgesic obstetrics observed
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参考文献3

  • 1Manuel C. Vallejo,Leonard L. Firestone,Gordon L. Mandell,Francisco Jaime,Sandra Makishima,Sivam Ramanathan.Effect of Epidural Analgesia with Ambulation on Labor Duration[J]. Anesthesiology . 2001 (4)
  • 2Linda S. Polley,Malachy O. Columb.Comparison of Epidural Ropivacaine and Bupivacaine in Combination with Sufentanil for Labor[J]. Anesthesiology . 2000 (1)
  • 3Muir H A,Writer D,Douglas J,Weeks S,Gambling D,Macarthur A.Double-blind comparison of epidural ropivacaine 0.25% and bupivacaine 0.25%, for the relief of childbirth pain. Canadian journal of anaesthesia = Journal canadien d’anesthésie . 1997

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