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目的探讨硬膜外分娩镇痛对产程进展及分娩结局的影响。方法选取我院2012年1月至2012年12月间接收的待产孕妇204例,在征得患者及家属同意的情况下,分为镇痛组和非镇痛组,各102例。观察比较两组的产程时间、产后出血量、催产素使用率、分娩方式。结果镇痛和非镇痛组的产后出血量、产程时间、异常胎心监护差异无统计学意义;而镇痛组催产素使用率较高,但剖宫产手术的人数少。结论硬膜外分娩镇痛可以降低剖宫产率,加快产程,可促进自然分娩,值得推广。
Objective To investigate the effects of epidural analgesia on labor progress and delivery outcome. Methods Totally 204 pregnant women undergoing maternity in our hospital from January 2012 to December 2012 were selected and divided into analgesic group and non-analgesic group with the consent of patients and their families, 102 cases each. The duration of labor, the amount of postpartum hemorrhage, the rate of oxytocin use and the mode of delivery were observed and compared between the two groups. Results There was no significant difference in postpartum hemorrhage volume, labor duration and abnormal fetal heart rate between the analgesic and non-analgesic groups. However, the use rate of oxytocin was higher in the analgesic group but less in the cesarean section. Conclusion Epidural labor analgesia can reduce the rate of cesarean section, accelerate labor process, can promote natural childbirth, it is worth promoting.