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中国初级卫生保健:2019,33(6):34-35
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椎管内麻醉分娩镇痛对产程时间、产科 及新生儿敏感指标的影响
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中文摘要: 目 的 探讨椎管内麻醉在产科镇痛分娩中的应用及对产程时间、产科和新生儿敏感指标的影响。方法 选择2016年1月—2018年7月福建省立金山医院的定期产检并分别行非镇痛分娩或镇痛分娩的产妇共654例,其中镇痛分娩327例,非镇痛分娩327例,观察两组产妇的产程时间、产科敏感指标、新生儿敏感指标。结果 镇痛分娩组产妇第一产程和第二产程的时间均明显短于常规分娩组,差异有统计学意义(P﹤0.05);镇痛分娩组产妇的剖宫产率、会阴侧切率低于常规分娩组,自然分娩率高于正常分娩组,差异有统计学意义(P﹤0.05),阴道助产率、产后出血率的比较差异无统计学意义(P﹥0.05);2组新生儿敏感指标的比较差异无统计学意义(P﹥0.05)。结论 椎管内镇痛分娩可控性好,能降低第一产程、第二产程的时间,降低剖宫产率、会阴侧切率,提高自然分娩率,改善母婴结局,保障分娩安全,值得临床推广应用。
Abstract:OBJECTIVE To investigate the application of intraspinal anesthesia in analgesic labor and its influence on the time of labor, obstetric and neonatal sensitive indicators. METHODS From January 2016 to July 2018, 654 parturient who received regular maternity examinations in target hospital and were given non-analgesic or analgesic delivery were selected. Among them, 327 were given analgesic delivery and 327 were given non-analgesic delivery. The delivery time, obstetric sensitive index and neonatal sensitive index of these two groups were observed. RESULTS The time of the first and second stages of labor in the analgesic delivery group were significantly shorter than the conventional delivery group (P<0.05); the rate of cesarean section and lateral perinea incision in the analgesic delivery group was lower than the conventional delivery group, and the rate of natural delivery was higher than the normal delivery group (P<0.05), vaginal delivery rate and postpartum hemorrhage rate had no significant difference (P>0.05); there was no significant difference in neonatal sensitive indicators between these two groups (P>0.05). CONCLUSION Intraspinal analgesia had good controllability, which could reduce the time of the first and second stages of labor, reduce the rate of cesarean section and lateral perinea incision, improve the natural delivery rate, improve maternal and infant outcomes, and ensure the safety of delivery. It was worthy of clinical application.
文章编号:3201906013     中图分类号:R1-9    文献标志码:
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