论文部分内容阅读
目的探讨腰硬联合阻滞分娩镇痛对产程的影响及产程中缩宫素的使用。方法 2010年11月至2011年2月在本院足月阴道分娩、无妊娠合并症和并发症、无手术助产的初产妇82例,其中,41例产妇实施分娩镇痛(分娩镇痛组),41例未行分娩镇痛(对照组),分别记录并比较两组产妇各产程时间、产时缩宫素的使用率、镇痛效果、产后2h及24h出血量、新生儿Apgar评分及分娩镇痛组产时使用缩宫素的镇痛效果等。结果分娩镇痛组第一产程较对照组明显延长(P<0.05);分娩镇痛组较对照组缩宫素使用率增加;分娩镇痛组较对照组镇痛效果显著(P<0.05);产后出血及新生儿Apgar评分两组比较差异无统计学意义;分娩镇痛时使用缩宫素对镇痛效果无影响。结论分娩镇痛效果显著,但可能会使第一产程延长;产程中可适当使用缩宫素,其对镇痛效果无影响;分娩镇痛对产妇及新生儿无不良影响。
Objective To investigate the effect of combined spinal and epidural block analgesia on labor course and the use of oxytocin in labor. Methods From November 2010 to February 2011, 82 cases of primipara caused by gestational complications and complications without labor midwifery were delivered in our hospital. There were 41 cases of labor analgesia (labor analgesia group ), 41 cases of labor analgesia (control group), were recorded and compared the two groups of maternal labor time, the use of oxytocin during labor, analgesic effect, 2h and 24h postpartum hemorrhage, neonatal Apgar score and Labor analgesia group labor-induced use of oxytocin analgesic effect. Results The labor duration in labor analgesia group was significantly longer than that in control group (P <0.05). The use rate of oxytocin in labor analgesia group was higher than that in control group. The analgesic effect in labor analgesia group was significantly higher than that in control group (P <0.05). Postpartum hemorrhage and neonatal Apgar score was no significant difference between the two groups; labor analgesia using oxytocin had no effect on the analgesic effect. Conclusion The analgesic effect of labor is significant, but may prolong the first stage of labor; oxytocin may be used appropriately in the labor process, which has no effect on the analgesic effect; and analgesia during childbirth has no adverse effect on the mothers and newborns.