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目的探讨分娩镇痛有效方法及其效果,消除产妇紧张情绪,降低剖宫产率。方法以足月头位初产妇为观察对象,分为镇痛组与对照组,每组各100例。产程中镇痛组采用药物镇痛,对照组按产科一般常规处理。比较两组产妇镇痛满意度,产程时间,产后出血量,催产素及助产器械使用情况,剖宫产率,胎儿窘迫及新生儿Apgar评分等。结果镇痛组疼痛感、羊水粪染发生情况均显著低于对照组;第一、二产程时间,镇痛组显著短于对照组;使用催产素调整宫缩者,镇痛组高于对照组,差异均有统计学意义(P<0.05)。产妇第三产程时间、产后出血量、要求实施剖宫产者、新生儿Apgar评分等,两组比较差异无统计学意义(P>0.05);镇痛组和对照组产妇均无使用助产器械者。结论分娩镇痛可消除产妇紧张情绪,对产妇及新生儿无不良影响,对降低因惧怕分娩阵痛而要求剖宫产者有积极作用。
Objective To explore effective methods and effects of labor analgesia to eliminate maternal tension and reduce the rate of cesarean section. Methods Full-term head-position primipara was observed, divided into analgesic group and control group, 100 cases in each group. Labor analgesia group analgesia medication, the control group by general obstetric treatment. The analgesic satisfaction, labor duration, postpartum hemorrhage, oxytocin and midwifery use, cesarean section rate, fetal distress and neonatal Apgar score were compared between the two groups. Results Pain in the analgesic group and occurrence of meconium-stained amniotic fluid in the analgesic group were significantly lower than those in the control group. In the first and second stage of labor, the analgesic group was significantly shorter than the control group. , The differences were statistically significant (P <0.05). Maternal third stage of labor time, postpartum hemorrhage, require the implementation of cesarean section, neonatal Apgar score, no significant difference between the two groups (P> 0.05); analgesic group and control group, no use of midwifery equipment By. Conclusion Labor analgesia can eliminate maternal tension and has no adverse effect on the mothers and newborns. It has a positive effect on reducing the need for cesarean delivery due to the pain caused by labor.