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目的探讨硬膜外分娩镇痛在子痫前期临产孕妇中的应用对分娩结局的影响。方法选取2010年2月至2012年6月在我院住院要求经阴道试产并自愿接受硬膜外分娩镇痛的子痫前期孕妇共28例(实验组),同期我院住院要求经阴道分娩而不愿行硬膜外分娩镇痛的子痫前期孕妇共22例(对照组)。比较两组孕妇在阴道试产过程中的镇痛效果、血压(平均动脉压)、分娩结局、产后出血量及新生儿评分等各项指标的差异。结果实验组分娩过程中镇痛效果明显,平均动脉压明显低于对照组(P<0.05),剖宫产率较对照组低(P<0.05),但产后出血量及新生儿评分差异无统计学意义(P>0.05)。结论硬膜外分娩镇痛在子痫前期孕妇临产后应用可明显减轻分娩疼痛,使分娩过程血压下降,同时提高阴道分娩率,且对母儿无不良影响,安全有效,临床上可推广应用。
Objective To investigate the effect of epidural analgesia on delivery outcomes in pregnant women with preeclampsia. Methods 28 pregnant women (experimental group) with preeclampsia receiving vaginal trial and voluntary epidural analgesia who were hospitalized in our hospital from February 2010 to June 2012 were enrolled in this study. In the same period, our hospital required vaginal delivery And do not want to epidural analgesia in pregnant women with preeclampsia a total of 22 cases (control group). The analgesic effect, blood pressure (mean arterial pressure), delivery outcome, postpartum hemorrhage and neonatal score were compared between the two groups during vaginal trial. Results The analgesic effect of experimental group during delivery was obvious, the mean arterial pressure was significantly lower than that of control group (P <0.05), and the rate of cesarean section was lower than that of control group (P <0.05), but there was no statistical difference between postpartum hemorrhage and neonatal score Significance (P> 0.05). Conclusion Epidural labor analgesia in post-partum pregnant women with preeclampsia can significantly reduce labor pain, blood pressure during delivery decreases, while increasing vaginal delivery rate, and no adverse effects on the mother and child, safe and effective, clinically applicable.