摘要
目的探讨无痛分娩在"全面二孩时代"产科的应用效果。方法选取2016年1月1日至2017年12月31日住院分娩的531名初产妇,随机分为试验组(258名)和对照组(273名)。试验组在产痛明显的活跃期采用硬膜外阻滞镇痛无痛分娩,对照组采用常规分娩方式进行分娩。比较两种分娩方式的临床效果。结果试验组镇痛后视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P <0. 05);试验组第一产程活跃期短于对照组,差异有统计学意义(P <0. 05);试验组剖宫产率低于对照组,差异有统计学意义(P <0. 05)。结论在产痛明显的活跃期给予产妇硬膜外神经阻滞麻醉分娩镇痛,可缩短产程,减轻产痛,降低剖宫产率,且安全可靠。
Objective To explore painless labor in the clinical application of obstetrics department under universal two-child policy. Methods A total of 531 primiparae who were hospitalized and delivered on January 1,2016 and December 31,2017 were randomly divided into the experimental group( 258) and the control group( 273). In the experimental group,epidural block analgesia and painless labor were used in the period of obvious labor pain, while in the control group, conventional delivery was used. The clinical effects of the two delivery methods were compared. Results Visual analogue scale( VAS) score of the experimental group was lower than that of the control group after analgesia,and the difference was statistical y significant( P < 0. 05). The first stage of labor activity in the experimental group was shorter than that in the control group,and the difference was statistically significant( P < 0. 05). The cesarean section rate of the experimental group was lower than that of the control group,and the difference was statistically significant( P < 0. 05). There was no significant difference in other indexes between the two groups( P >0. 05). Conclusions In clinical practice,parturient women choose epidural nerve block anesthesia for labor analgesia,which can shorten labor process time,reduce labor pain,reduce cesarean section rate,and is safe and reliable.
作者
杨慧芝
谭志琴
万兰
杨吉武
文玉华
林燕蕊
余晓珊
Yang Huizhi;Tan Zhiqin;Wan Lan;Yang Jiwu;Wen Yuhua;Lin Yanrui;Yu Xiaoshan(Department of Obstetrics and Gynecology,the Air Force Hospital,Guangzhou Guangdong 510602,China;Department of Anesthesiology,the Air Force Hospital,Guangzhou Guangdong 510602,China)
出处
《医疗装备》
2019年第6期9-11,共3页
Medical Equipment
关键词
无痛分娩
硬膜外阻滞麻醉
产科
临床应用
Painless labor
Epidural nerve block anesthesia
Obstetrics department
Clinical application
