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目的:探讨硬膜外分娩镇痛产后对产妇及新生儿的影响。方法:选取我院自2006年2月至2010年6月收治的520例硬膜外分娩镇痛产妇(观察组)与同期530例未采用硬膜外分娩镇痛的产妇(参考组)的临床资料进行对比分析,观察比较两组母婴的结局。结果:采用硬膜外分娩镇痛产妇产后15-20min无腹痛,第一产程活跃期平均用时需(206±101)min,相较参考组的(256±99)min,有明显差异,P<0.05;第二产程活跃期用时需(54±12)min,相较参考组(55±12)min无显著差异性,P>0.05,。两组剖宫产率有显著差异,P<0.05,新生儿Apgar评分差异显著,P<0.05,有统计学意义。两组产后出血量及阴道助产率均无明显差异,P>0.05,无统计学意义。结论:硬膜外分娩镇痛对母婴影响较小,安全且保证分娩顺利进行,可进行推广。
Objective: To investigate the effects of epidural labor analgesia on mothers and newborns. Methods: A total of 520 cases of epidural labor analgesia (observation group) and 530 cases of non-epidural labor analgesia (reference group) in our hospital from February 2006 to June 2010 were enrolled. Data were analyzed and compared between the two groups were observed maternal and child outcomes. Results: The epidural analgesia did not have abdominal pain in 15-20 minutes postpartum. The average duration of the first stage of labor was (206 ± 101) min, which was significantly different from that of the reference group (256 ± 99) min, P < 0.05; the active stage of the second stage of labor was (54 ± 12) min, no significant difference compared with the reference group (55 ± 12) min, P> 0.05. There was significant difference between the two groups in cesarean section rate, P <0.05, Apgar score difference was significant, P <0.05, with statistical significance. No significant difference in postpartum hemorrhage and vaginal delivery rate between the two groups, P> 0.05, no statistical significance. CONCLUSIONS: Epidural analgesia has less impact on mothers and infants, is safe and guarantees a smooth delivery and can be promoted.