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目的:分析自控硬膜外分娩镇痛对产科结局的影响。方法:选取我院2011年12月-2013年11月间收治的200名产妇作为研究对象,随机分为观察组与对照组,每组患者各100例。对照组采用常规分娩模式,观察组采用自控硬膜外分娩镇痛,对两组患者的分娩疼痛情况、产后出血、剖宫产率、胎儿窘迫发生率等方面进行分析对比。结果:观察组疼痛程度明显低于对照组,两组数据结果比较具有明显差异(P<0.05);两组产妇产后出血、剖宫产率、胎儿窘迫发生率等方面情况比较差异无统计学意义(P<0.05)。结论:自控硬膜外分娩镇痛能够有效的减轻产妇分娩的疼痛,但并不会增加产后出血、剖宫产率、胎儿窘迫发生率,值得在临床应用上推广。
OBJECTIVE: To analyze the effect of controlled epidural analgesia on obstetric outcomes. Methods: Two hundred maternal women admitted from December 2011 to November 2013 in our hospital were selected as study subjects and randomly divided into observation group and control group with 100 cases in each group. The control group was given conventional mode of delivery. The observation group was controlled by self-controlled epidural analgesia. The analgesia of childbirth, postpartum hemorrhage, cesarean section rate and fetal distress were compared between the two groups. Results: The degree of pain in the observation group was significantly lower than that in the control group, and there was significant difference between the two groups (P <0.05). There was no significant difference in the incidence of postpartum hemorrhage, cesarean section rate and fetal distress among the two groups (P <0.05). Conclusion: Epidural labor analgesia can effectively reduce the pain of childbirth, but it will not increase the incidence of postpartum hemorrhage, cesarean section rate and fetal distress, which is worth to be popularized in clinical application.