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目的:探讨全程硬膜外分娩镇痛的有效性及安全性。方法:选取255例产妇作为研究对象,根据分娩过程中的镇痛方案分为观察组142例,分娩过程中采用全程硬膜外分娩镇痛;对照组113例分娩过程中未给予镇痛措施而直接正常分娩,对比分析两组产妇及新生儿的各项指标。结果:1观察组产妇第一产程活跃期时间显著低于对照组,差异有统计学意义(P<0.05);两组产妇第二产程时间、产后出血量差异无统计学意义(P>0.05)。2两组产妇阴道助产率差异无统计学意义(P>0.05),观察组剖宫产率显著低于对照组,差异有统计学意义(P<0.05)。3观察组第一产程活跃期疼痛视觉模拟评分(VAS评分)、第二产程VAS评分显著低于对照组,差异有统计学意义(P<0.05)。4观察组新生儿Apgar评分显著高于对照组,差异有统计学意义(P<0.05)。结论:分娩过程中应用全程硬膜外分娩镇痛既可以缩短第一产程活跃期时间、降低剖宫产率,还可以在一定程度上避免新生儿窒息。
Objective: To investigate the efficacy and safety of total epidural analgesia during labor. Methods: A total of 255 maternal women were selected as study subjects. 142 cases were divided into observation group according to the analgesic program during labor. The whole epidural labor analgesia was used during delivery. In the control group, 113 cases were given no analgesic measures Direct normal delivery, comparative analysis of the two groups of maternal and neonatal indicators. Results: 1 The active period of the first stage of labor of the observation group was significantly lower than that of the control group (P <0.05). There was no significant difference between the two groups in the time of second stage of labor and the amount of postpartum hemorrhage (P> 0.05) . There was no significant difference in vaginal delivery rate between the two groups (P> 0.05). The rate of cesarean section in the observation group was significantly lower than that in the control group (P <0.05). Visual acuity score (VAS score) and VAS score of the second stage of labor in the observation group were significantly lower than those in the control group (P <0.05). The Apgar score of neonates in the observation group was significantly higher than that of the control group (P <0.05). Conclusion: The application of full epidural analgesia during childbirth can shorten the active period of the first stage of labor, reduce the rate of cesarean section, but also to a certain extent, to prevent neonatal asphyxia.