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目的研究硬膜外分娩镇痛配合积极产程管理对分娩结局的影响。方法选取2015年在新疆石河子妇幼保健院住院分娩的单胎足月孕妇,根据患者自愿原则分为两组:有分娩镇痛要求实施连续硬膜外分娩镇痛配合积极产程管理的72例孕妇作为观察组,无分娩镇痛要求采取常规分娩的100例孕妇作为对照组。结果观察组与对照组比较:1观察组产妇镇痛后各时间点数字评分(NRS)均较对照组降低,差异有统计学意义(P<0.05)。镇痛起效时间(10.5±6.4)min。2两组活跃期及二产程时间、新生儿阿氏评分、出血量比较差异均无统计学意义(P>0.05);观察组缩宫素使用率高于对照组(P<0.05);观察组剖宫产率低于对照组(P<0.05)。结论硬膜外分娩镇痛配合积极产程管理,镇痛效果确切,不延长产程,可降低剖宫产率,对母婴安全。
Objective To study the effect of epidural analgesia combined with active labor management on delivery outcome. Methods A singleton full-term pregnant women hospitalized in Shihezi Maternal and Child Health Hospital of Xinjiang in 2015 were divided into two groups according to their voluntary principles: 72 pregnant women with labor analgesia requiring continuous epidural analgesia and active labor management Observation group, no labor analgesia require routine delivery of 100 pregnant women as a control group. Results Observation group and control group: 1 observation group maternal analgesia after each point of time numerical score (NRS) were lower than the control group, the difference was statistically significant (P <0.05). Analgesic onset time (10.5 ± 6.4) min. There was no significant difference between the two groups in the active stage and the second stage of labor, neonatal Asperger’s score and the amount of bleeding (P> 0.05). The observation group had higher use rate of oxytocin than the control group (P <0.05) Cesarean section rate was lower than the control group (P <0.05). Conclusion Epidural labor analgesia with active labor management, analgesic effect is exact, does not prolong the labor process, can reduce the rate of cesarean section, the mother and child safety.