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目的:探讨镇痛分娩降低初产妇剖宫产率的作用。方法:选取中山市坦背医院2014年6月至2016年4月1200例自然分娩头位单胎初产妇病例,按照是否采取镇痛分娩进行分组,镇痛分娩组和无镇痛分娩组均为600例产妇,比较两组产妇转剖宫产率、产程时间、产后出血量、新生儿窒息发生率。结果:(1)和无镇痛分娩组对比,镇痛分娩组剖宫产率明显更低,差异具有统计学意义(P<0.05)。(2)两组产妇第一产程、第二产程的时间、产后24 h出血量及新生儿窒息发生率比较,差异均无统计学意义(P>0.05)。(3)与对照组对比,观察组疼痛程度明显较轻,数据比较,差异具有统计学意义(P<0.05)。结论:镇痛分娩降低初产妇剖宫产率的作用显著,能够在不延长产程和不增加产后出血量、新生儿窒息前提下,降低剖宫产率。
Objective: To investigate the effect of analgesia labor to reduce cesarean section rate in primipara. Methods: A total of 1,200 cases of single-born primiparae at natural delivery from June 2014 to April 2016 in Tansan Hospital of Zhongshan City were selected and divided into groups according to whether analgesia was given or not. Analgesia and childbirth groups were all 600 maternal, maternal cesarean section rate, labor duration, postpartum hemorrhage, neonatal asphyxia incidence. Results: (1) Compared with no analgesia delivery group, the rate of cesarean section in analgesia delivery group was significantly lower, the difference was statistically significant (P <0.05). (2) There was no significant difference between the two groups in the time of the first stage of labor, the second stage of labor, the amount of bleeding after 24 hours and the incidence of neonatal asphyxia (P> 0.05). (3) Compared with the control group, the degree of pain in the observation group was significantly lighter, the data were compared, the difference was statistically significant (P <0.05). Conclusion: The effect of analgesia delivery on reducing cesarean section rate of primipara is significant. It can reduce the rate of cesarean section without prolonging labor and without increasing postpartum hemorrhage and neonatal asphyxia.