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目的:探讨硬膜外麻醉对产科分娩的影响。方法:选择待产初产妇100例,将其随机分为两组,每组50例,观察组采用硬膜外麻醉的无痛分娩方式,对照组不采取任何镇痛措施。观察两组产妇的镇痛效果、分娩方式、阴道分娩产程时间、产后2h出血量及新生儿1分钟Apgar评分等各项指标。结果:观察组镇痛效果优于对照组;观察组的自然分娩率明显高于对照组,剖宫产率及胎头吸引器助产率明显低于对照组;观察组第一产程和总产程时间明显短于对照组;两组新生儿1分钟Apgar评分及产后2h出血量比较,差异无显著统计学意义。结论:采用硬膜外麻醉分娩的镇痛效果明显,降低了剖宫产率,缩短了阴道分娩的产程。
Objective: To investigate the effect of epidural anesthesia on obstetric labor. Methods: 100 cases of primiparous women were selected and randomly divided into two groups, 50 cases in each group. The painless delivery mode of epidural anesthesia in the observation group was adopted. The control group did not take any analgesic measures. Analgesic effect, mode of delivery, duration of vaginal delivery, postpartum 2h bleeding and 1 minute Apgar score of the two groups were observed. Results: The analgesic effect of the observation group was better than that of the control group. The rate of natural childbirth in the observation group was significantly higher than that in the control group. The cesarean section rate and the rate of fetal head suction were significantly lower than those in the control group. Time was significantly shorter than the control group; Apgar score of 1 minute and neonatal 2h postpartum blood output comparison, the difference was not statistically significant. Conclusion: The analgesic effect of delivery by epidural anesthesia is obvious, which reduces the rate of cesarean section and shortens the labor process of vaginal delivery.