目的研究可行走式硬膜外分娩镇痛的镇痛效果及对母儿的影响。方法将2014年1-12月在该院住院分娩的单胎足月初产孕妇分为两组,进入活跃期行分娩镇痛的68例孕妇为观察组,未行分娩镇痛的270例孕妇为对照组;分组按照患者自愿的原则。结果观察组孕妇分娩镇痛效果确切,镇痛后各时间点疼痛评分与对照组比较均降低(P<0.05),无运动阻滞发生;观察组与对照组比较,第一产程活跃期时间及第二产程时间均延长,差异有统计学意义(P<0.05),但产程在正常范围内;观察组会阴侧切率小于对照组,差异有统计学意义(P<0.05);两组缩宫素使用率、产后2 h出血量、器械助产率、胎儿宫内窘迫发生率及新生儿窒息发生率比较,差异均无统计学意义(P>0.05)。结论可行走式硬膜外分娩镇痛效果确切,对母儿安全,值得推广应用。 Objective To study the analgesic effects of walking epidural analgesia and its effects on mothers and children. Methods One-month term single-term pregnant women who were hospitalized and delivered from January 2014 to January 2014 in our hospital were divided into two groups. The 68 pregnant women who entered the active phase of labor analgesia were selected as the observation group. 270 pregnant women without labor analgesia Control group; group according to the principle of voluntary patients. Results In the observation group, the analgesic effect of labor during childbirth was definite. The pain score of each time point after analgesia was lower than that of the control group (P <0.05), and there was no motor block. The active period of the first stage of labor and the control group were significantly The second stage of labor were longer, the difference was statistically significant (P <0.05), but the process of birth within the normal range; observation group episiotomy lateralization rate was less than the control group, the difference was statistically significant (P <0.05); two groups of oxytocin There was no significant difference in the rate of use, the amount of bleeding 2 h postpartum, the rate of midwifery, the incidence of fetal distress and neonatal asphyxia (P> 0.05). Conclusion The feasibility of walking epidural analgesia is exact and safe for both mother and child. It is worth popularizing and applying.