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目的探讨80例孕妇实施硬膜外麻醉镇痛分娩的临床疗效及对产程进展、母婴安全的影响。方法选取160例条件相似,无产科并发症及麻醉禁忌症的单胎初产孕妇作为研究对象,分为研究组80例,采用舒芬太尼进行硬膜外麻醉镇痛分娩;对照组80例,不给予任何镇痛药物,采用常规方式进行阴道分娩。观察对比两组产妇临床表现的产痛情况、产程、有无不良反应、产后出血状况、分娩形式及对新生儿Apgar氏进行评估。结果研究组患者实施剖宫产例数及分娩产程时间明显低于对照组,两组存在显著差异(P<0.05)。结论对孕妇实施硬膜外麻醉镇痛分娩不仅能有效缩短其产程时间,更能降低剖腹产率,效果较好且易于被接受及推广。
Objective To investigate the clinical efficacy of epidural anesthesia in delivery of 80 pregnant women and their effects on labor progress and maternal and infant safety. Methods Totally 160 singleton primiparous pregnant women with similar conditions and no obstetric complications and anesthesia contraindications were enrolled in the study. They were divided into study group (n = 80), sufentanil for epidural analgesia delivery and control group (n = 80) , Do not give any analgesic drugs, vaginal delivery using the usual way. Observe and compare the clinical manifestations of the two groups of women labor pain, labor, with or without adverse reactions, postpartum hemorrhage, childbirth and neonatal Apgar’s assessment. Results The number of cases of cesarean section and delivery labor time in study group were significantly lower than those in control group, there was significant difference between the two groups (P <0.05). Conclusion Epidural anesthesia for pregnant women analgesia childbirth can not only shorten the delivery time, but also reduce the caesarean section rate, the effect is good and easy to be accepted and promoted.