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目的探讨自控微量泵实施分娩镇痛对分娩结局的影响。方法选取广西壮族自治区妇幼保健院2013年1月-6月产科收治的待产妇100例,随机分为两组,观察组50例选择硬膜外自控微量泵法镇痛进行分娩,对照组50例采用非镇痛自然分娩,两组产妇的年龄、产次、孕周等差异均无统计学意义(P>0.05);比较两组产妇疼痛等级、剖宫产率、产程活跃期及开始泌乳时间。结果观察组疼痛等级1～3级者明显高于对照组,4～6级和7～9级者明显低于对照组;观察组剖宫产率、活跃期时间低于对照组,产后开始泌乳时间在24～48h内的比例大于对照组,产后出血率及新生儿窒息率明显低于对照组(P<0.05)。结论自控微量泵实施分娩镇痛可明显降低产妇的疼痛等级、剖宫产率、产后出血率及新生儿窒息率,缩短活跃期时间,开始泌乳的时间提前。
Objective To investigate the effect of labor-controlled micropump on labor delivery analgesia. Methods 100 maternal obstetric patients admitted to Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region from January to June in 2013 were randomly divided into two groups. Fifty patients in observation group were given epidural self-controlled micro-pump for analgesia and 50 in control group There was no significant difference in age, parity and gestational age between the two groups (P> 0.05). The pain rate, cesarean section rate, active labor period and the time of starting lactation . Results The pain scores of the observation group were significantly higher than those of the control group, while the scores of grades 4 ~ 6 and 7 ~ 9 were significantly lower than those of the control group. The cesarean section rate and the active period of the observation group were lower than those of the control group The proportion of time within 24 ~ 48h was greater than that of control group. The rate of postpartum hemorrhage and neonatal asphyxia were significantly lower than those of control group (P <0.05). Conclusion Self-controlled micro-pump implementation of labor analgesia can significantly reduce the maternal pain level, cesarean section rate, postpartum hemorrhage rate and neonatal asphyxia, shorten the active period, start lactation ahead of time.