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目的:探讨连续硬膜外阻滞分娩镇痛的效果及对产程、母婴状况的影响。方法:采用连续硬膜外阻滞麻醉用于分娩镇痛的50例初产妇为观察组,取同期50例正常未干预初产妇作对照,比较两组的镇痛效果、不良反应、产程时间、分娩时间和方式、产后出血、胎儿及新生儿的影响情况。结果:两组镇痛效果比较,差异有显著性(P<0.05);两组不良反应比较,差异无显著性(P>0.05);两组产程活跃期比较有显著性差异(P<0.01);两组胎儿窘迫,新生儿窒息及产后出血发生率比较无显著性差异(P>0.05)。结论:连续硬膜外阻滞麻醉用于分娩镇痛,有效缓解产痛,加速了产程活跃期及第2产程的进展,降低了剖宫产及阴道难产率,对母婴均无不良影响。提高了分娩期质量。
Objective: To investigate the effect of continuous epidural block on labor analgesia and its effects on labor process and maternal and infant status. Methods: 50 cases of primiparae used for labor analgesia by continuous epidural anesthesia were selected as the observation group. Fifty cases of normal primiparous women were used as control group. The analgesic effects, adverse reactions, labor duration, Childbirth time and manner, postpartum hemorrhage, fetal and neonatal impact. Results: The analgesic effects of the two groups were significantly different (P <0.05). There was no significant difference between the two groups in adverse reactions (P> 0.05). There was significant difference between the two groups in active stage (P <0.01) There was no significant difference between the two groups in the incidence of fetal distress, neonatal asphyxia and postpartum hemorrhage (P> 0.05). CONCLUSIONS: Continuous epidural anesthesia is used for labor analgesia, relieves labor pain effectively, accelerates the active stage of labor and the progress of the second stage of labor, reduces the rate of cesarean section and vaginal dystocia, and has no adverse effect on both mother and infant. Improve the quality of childbirth.