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目的:探讨椎管内分娩镇痛对非绝对医学指征剖宫产率及自然分娩产钳助产率的影响。方法:收集天津市滨海新区塘沽妇幼保健院开展分娩镇痛前(2005年1月~2006年12月,6 330份,A组)和开展分娩镇痛后(2011年1月~2012年12月,9 681份,B组)住院分娩产妇分娩资料共16 011份,比较两组非绝对医学指征剖宫产率及经阴道分娩产钳助产率的变化,分析开展分娩镇痛对两者的可能影响。结果:经统计学分析,开展分娩镇痛后一定时间周期内住院分娩产妇净增加34.6%;B组非绝对医学指征剖宫产率(16.7%)明显低于A组(41.3%),两者比较,差异有统计学意义(P<0.05);B组经阴道分娩产钳助产率(3.5%)略高于A组(2.1%),两者比较,差异有统计学意义(P<0.05)。结论:开展椎管内分娩镇痛可扩大医院影响力,提高社会效益,并能显著降低非绝对医学指征剖宫产率。
Objective: To investigate the effects of spinal canal analgesia on non-absolute medical indication of cesarean section rate and spontaneous delivery forceps delivery rate. Methods: Pre-labor analgesia was collected from Tanggu MCH hospital in Binhai New Area, Tianjin (6 330 from January 2005 to December 2006, group A) and after labor analgesia (from January 2011 to December 2012 , 9 681, B group) a total of 16 011 copies of hospital delivery of childbirth data were compared between two groups of non-absolute medical indication of cesarean section rate and vaginal delivery forceps delivery rate changes analysis of labor analgesia of the two May affect. Results: According to the statistical analysis, the net increase of postpartum labor in delivery within a certain period of time after labor analgesia was 34.6%; the non-absolute medical indication rate of cesarean section in group B (16.7%) was significantly lower than that in group A (41.3%), The difference was statistically significant (P <0.05). The forceps delivery rate of vaginal delivery in group B (3.5%) was slightly higher than that in group A (2.1%), the difference was statistically significant (P <0.05) ). CONCLUSIONS: Spinal labor analgesia can expand hospital influence and improve social benefits, and can significantly reduce the non-absolute medical indication of cesarean section rate.