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目的:探讨笑气对无痛分娩产时、产后的效果。方法:吉林市妇产医院150例住院产妇(无并发症,足月头位),在产程进入活跃期(宫颈扩张3 cm,未破膜者常规破膜)时,给予笑气作无痛分娩吸入,并随机选择150例相同条件的产妇作为对照组。观察两组产妇宫颈扩张及先露下降程度、产时胎儿情况(新生儿出生后Apgar评分)、产后阴道流血情况。结果:产妇应用笑气后,产程由活跃期进入开全期的时间大为缩短,平均30 min~2 h;第二产程平均为80.0 min(P<0.05),产痛明显消失。围产儿窒息率差异无显著性(P>0.05)。结论:笑气吸入性分娩镇痛效果好,缩短产程,降低剖宫产率,对母婴无明显不良影响。
Objective: To investigate the effect of nitrous oxide on labor and delivery after painless childbirth. Methods: 150 cases of maternal hospital in Jilin Maternity Hospital (no complications, full-term head position), during labor into the active phase (cervical dilatation of 3 cm, rupture of the rupture of the routine rupture of membranes), give laugh gas for painless delivery Inhaled, and randomly selected 150 cases of the same conditions of maternal as a control group. Observe the two groups of maternal cervical dilatation and pre-exposure decline, fetus during labor (neonatal Apgar score after birth), postpartum vaginal bleeding. Results: After applying noxious labor, the labor time from the active phase to the full phase was greatly shortened, with an average of 30 min to 2 h. The average length of the second stage of labor was 80.0 min (P <0.05), and the pain disappeared obviously. Perinatal asphyxia rate was no significant difference (P> 0.05). Conclusion: The inhalation of nitrous oxide has a good analgesic effect in labor, shortening the labor process and reducing the cesarean section rate, and has no obvious adverse effect on the mother and the infant.