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目的对无保护会阴阴道分娩应用椎管内麻醉镇痛的效果进行观察。方法实施无保护会阴阴道分娩的200例产妇分成两组,其中100例无任何镇痛方式,为对照组;另外100例实施椎管内麻醉镇痛,为观察组。对比分析其临床情况。结果观察组患者的阴道裂伤发生率和中转剖宫产率和对照组相比明显偏低,差异有统计学意义(P<0.05);观察组患者的产后出血以及新生儿窒息发生率和对照组相比,差异无统计学意义(P>0.05)。结论无保护会阴阴道分娩患者实施椎管内麻醉镇痛,有助于降低产妇阴道裂伤发生率以及剖宫产率,值得推广。
Objective To observe the effect of spinal anesthesia analgesia in unprotected perineal vaginal delivery. Methods 200 cases of unprotected perineal vaginal delivery of women were divided into two groups, of which 100 cases without any analgesic mode for the control group; the other 100 cases of spinal anesthesia analgesia for the observation group. Comparative analysis of its clinical situation. Results The incidence of vaginal laceration and the rate of cesarean section in the observation group were significantly lower than those in the control group (P <0.05). The incidence of postpartum hemorrhage and neonatal asphyxia in the observation group were significantly higher than those in the control group Group, the difference was not statistically significant (P> 0.05). Conclusions Unprotected perineal vaginal delivery of patients with intra-spinal anesthesia analgesia, helps to reduce the incidence of maternal vaginal laceration and cesarean section rate, it is worth promoting.