论文部分内容阅读
目的:探讨硬膜外镇痛分娩在重度子痫前期临产孕妇的安全性及对母儿分娩结局的影响。方法:在该院住院的58例单胎、头位、已临产、无阴道分娩禁忌证,愿意接受镇痛分娩的重度子痫前期孕妇为研究组,另选择同期条件相似,未行任何镇痛处理的33例作对照组。观察产程中血压(平均动脉压)的变化、镇痛效果、分娩过程及新生儿情况。结果:镇痛分娩后的平均动脉压明显低于镇痛分娩前(P<0.05),镇痛效果明显。产程明显缩短(P<0.05),剖宫产明显减少(P<0.05),两组产后出血、新生儿结局差异无统计学意义(P>0.05)。结论:硬膜外镇痛分娩应用于重度子痫前期临产孕妇中可明显降低血压、缩短产程、降低剖宫产率、对母儿无不良影响,可选择合适的孕妇运用。
Objective: To investigate the safety of epidural analgesia during labor in severe preeclampsia and its effect on the outcome of delivery. Methods: Fifty-eight cases of single-child, head-head, hospitalized and vaginal delivery contraindications hospitalized in this hospital were included in the study. Pregnant women with severe preeclampsia who were willing to accept analgesia and childbirth were selected as the study group. 33 cases treated as a control group. Observe the changes in labor pressure (mean arterial pressure), analgesic effect, labor process and neonatal situation. Results: The average arterial pressure after labor analgesia was significantly lower than that before labor analgesia (P <0.05), and the analgesic effect was obvious. (P <0.05), cesarean section was significantly reduced (P <0.05), postpartum hemorrhage and neonatal outcomes between the two groups showed no significant difference (P> 0.05). Conclusion: Epidural analgesia delivery in pregnant women with severe preeclampsia can significantly reduce blood pressure, shorten the labor process, reduce the rate of cesarean section, no adverse effects on the mother and child, choose the appropriate use of pregnant women.