论文部分内容阅读
目的 探讨持续性硬膜外麻醉分娩镇痛中两种服务模式对镇痛效果及分娩结局的影响。 方法 全程温馨分娩组 (温馨组 ) 2 0 1例与单纯镇痛分娩组 (对照组 ) 192例比较其对镇痛效果、产程、分娩方式、产后出血及新生儿窒息等情况的影响。 结果 两组的产后出血量及痛效果差异无显著性 ,镇痛有效率均达 10 0 % (P>0 .0 5 ) ;温馨组的第一产程时间平均 (40 3± 135 ) min,总产程(45 5± 14 8) m in,较对照组的 (485± 183) m in及 (5 4 5± 193) m in短 ,差异有显著性 (P<0 .0 0 1) ;温馨组剖宫产率为 19.4 % ,低于对照组的 2 9.17% (P<0 .0 5 ) ;新生儿窒息率 (2 .99% )也较对照组的(8.33% )低 ,差异有显著性 (P<0 .0 5 )。 结论 全程温馨分娩强调环境、心理及医护人员专业化关爱和指导对无痛分娩结局的影响 ,作为一种全方位的分娩镇痛服务模式 ,对提高产科质量 ,降低难产及剖宫产率均有积极的作用
Objective To investigate the effects of two service modes on labor analgesia and delivery outcome in continuous epidural analgesia during labor. Methods The effects of analgesic effect, labor course, mode of delivery, postpartum hemorrhage and neonatal asphyxia were compared among 210 cases of warm delivery group (warm group) and 192 cases of simple analgesia delivery group (control group). Results The postpartum hemorrhage volume and the pain effect were not significantly different in both groups, and the effective rate of analgesia was 100% (P> 0.05). The mean time of first delivery in the warm group was (40 3 ± 135) min, The duration of labor was (45 ± 14 ± 8) days, and (485 ± 183) mins and (54 ± 193) days were shorter in the control group (P <0.01) The rate of cesarean section was 19.4%, which was lower than 21.77% (P <0.05) of the control group, asphyxia rate (2.99%) was also lower than that of the control group (8.33%), the difference was significant (P <0. 05). Conclusion The whole process of warm birth emphasizes environmental, psychological and professional care and guidance of medical staff on the outcome of painless childbirth. As a comprehensive service model of labor analgesia, it has the significant effect on improving the obstetric quality and reducing the rate of dystocia and cesarean section positive effect