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目的:观察比较两种分娩镇痛方法对产妇及新生儿的影响。方法:选择在我院住院分娩产妇180例,随机分为椎管内分娩镇痛组(A组)和镇痛仪分娩镇痛组(B组)各90例。比较两组产程时间、使用催产素、会阴损伤情况、产时不同时间节点视觉模拟评分(VAS)和满意度等指标,以及新生儿双顶径和Apgar 1min、5min评分。结果:(1)A组第一产程时间(323.85±92.21)min,第二产程时间(31.23±15.36)min;B组分别为(314.37±131.76)min和(36.75±12.24)min;两组比较,差异不显著(P>0.05)。A组催产素使用率显著高于B组(P<0.05);Ⅰ度会阴裂伤率显著高于B组(P<0.05),Ⅱ度会阴裂伤率和会阴侧切率显著低于B组(P<0.05)。A组产时不同时间节点VAS分值,显著低于B组(P<0.05);满意度总分值非常显著高于B组(P<0.01)。(2)两组新生儿双顶径及Apgar 1min、5min评分比较,均差异不显著(P>0.05)。结论:椎管内分娩镇痛较镇痛仪分娩镇痛能够显著减少会阴损伤,提高镇痛效果和产妇满意度,但两者对产妇产程进展及新生儿影响不显著。
Objective: To observe and compare the effects of two methods of labor analgesia on maternal and newborn. Methods: One hundred and eighty pregnant women who were hospitalized for delivery in our hospital were randomly divided into 90 cases of analgesia group (group A) and analgesia analgesia group (group B). The duration of labor was compared between the two groups using oxytocin, perineal injury, visual analogue scale (VAS) and satisfaction scores at different time points of birth, and neonatal biparietal diameter and Apgar 1min, 5min score. Results: (1) The time of the first stage of labor in group A (323.85 ± 92.21) min and the second stage of labor (31.23 ± 15.36) min in group A were (314.37 ± 131.76) min and (36.75 ± 12.24) min in group B, respectively , The difference was not significant (P> 0.05). The oxytocin utilization rate in group A was significantly higher than that in group B (P <0.05); the rate of episiotomy Ⅰ was significantly higher than that in group B (P <0.05); the degree of episiotomy Ⅱ and the rate of episiotomy were significantly lower than those in group B P <0.05). The VAS score of node A in different time of birth was significantly lower than that in group B (P <0.05). The total score of satisfaction was significantly higher than that in group B (P <0.01). (2) There was no significant difference between the two groups in neonatal biparietal diameter and Apgar 1min, 5min score (P> 0.05). Conclusion: Analgesic labor during spinal canal analgesia compared with analgesia can significantly reduce perineal injury, improve analgesic effect and maternal satisfaction, but both have no significant effect on maternal labor progress and newborn infants.