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目的通过回顾性分析研究连续硬膜外分娩镇痛对产程及分娩结局的影响。方法选取360例阴道试产初产妇为回顾性分析对象,分为镇痛组102例,对照组258例,观察对比两组产妇产程活跃期、第二产程、第三产程时间,以及缩宫素使用率、顺产率、产钳助产率、剖宫产率及新生儿1min、5min Apgar评分情况。结果镇痛组活跃期时间相对较长,缩宫素使用率、顺产率相对较高,而剖宫产率相对较低。结论连续硬膜外分娩镇痛可以延长产程活跃期,显著降低剖宫产率,而对新生儿无不良影响,临床应用安全有效。
Objective To retrospectively analyze the effects of continuous epidural analgesia on labor process and delivery outcome. Methods A total of 360 vaginal trial primipara was retrospectively analyzed and divided into analgesia group (102 cases) and control group (258 cases). The active phase, the second stage of labor and the third stage of labor were compared between the two groups, Use rate, birth rate, forceps delivery rate, cesarean section rate and neonatal 1min, 5min Apgar score. Results The active period of analgesic group was relatively long, the rate of oxytocin administration, the rate of cesarean section was relatively high, and the rate of cesarean section was relatively low. Conclusion Continuous epidural analgesia can prolong the active stage of labor and significantly reduce the rate of cesarean section, while having no adverse effect on the newborn. The clinical application is safe and effective.