[1]周秀芹 闫洪超 武玉清.全程硬膜外分娩镇痛的第二产程镇痛满意度及分娩方式研究[J].徐州医科大学学报,2018,38(10):681-683.
 The second stage of labor analgesia satisfaction and delivery means of full epidural analgesia[J].Journal of Xuzhou Medical University,2018,38(10):681-683.
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全程硬膜外分娩镇痛的第二产程镇痛满意度及分娩方式研究()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
38
期数:
2018年10期
页码:
681-683
栏目:
出版日期:
2018-10-25

文章信息/Info

Title:
The second stage of labor analgesia satisfaction and delivery means of full epidural analgesia
作者:
周秀芹 闫洪超 武玉清
沭阳协和医院
关键词:
全程硬膜外镇痛分娩镇痛第二产程镇痛满意度分娩方式
文献标志码:
A
摘要:
目的:分析孕妇第二产程中的全程硬膜外分娩镇痛应用效果,分析其对孕妇镇痛满意度及分娩方式的影响。方法:在我院201年1月-2017年1月接收的分娩孕妇中随机选取120例,依照将其分成三组,每组40例,无镇痛组给予镇痛处理对照组在第二产程暂停镇痛生理盐水,观察组实施罗帕卡因联合舒芬太尼持续镇痛。统计分析三组孕妇的平均产程时间、会阴修复VAS评分、第二产程镇痛满意度以及分娩方式。结果:和无镇痛组孕妇相比,对照组和观察组孕妇的平均分娩时间和会阴修复VAS评分明显偏低,差异对比P<0.05,但是和对照组相比,观察组孕妇的平均分娩时间差异P>0.05,会阴修复VAS评分明显偏低,差异对比P<0.05;和无镇痛组孕妇相比,对照组和观察组孕妇的第二产程镇痛满意度评分明显偏高,产后出血量明显偏低,差异对比P<0.05,同时和对照组相比,观察组孕妇的第二产程镇痛满意度评分明显偏高,产后出血量明显偏低,差异对比P<0.05;和无镇痛组相比,对照组和观察组孕妇的剖宫产分娩率比较低,差异对比P<0.05,但是对照组和观察组孕妇之间的剖宫产分娩率差异P>0.05;和无镇痛组相比,对照组和观察组新生儿出生体重以及不同时间差异明显,对比P<0.05,但是对照组和观察组新生儿的出生体重以及不同时间的新生儿Apgar评分差异P>0.05。结论:全程硬膜外分娩镇痛在孕妇镇痛中的应用,能够取得良好的镇痛效果,不但可以显著提高孕妇第二产程镇痛满意度以及会阴修复,同时能够降低剖宫产分娩率,值得推广应用。
Abstract:
Objective: To analyze the effect of total epidural labor analgesia in the second stage of pregnancy, and analyze its influence on the satisfaction of pregnant women and the mode of delivery. Methods: 120 cases of primiparas were randomly selected from the pregnant women who were received from January 2017 to October 2017 in our hospital. The patient data were retrospectively analyzed. According to the patient’’s analgesia, they were divided into three groups, 40 cases in each group. No analgesic treatment was given to the analgesic group. The control group received analgesic treatment after regular contractions, paused analgesia in the second stage of labor, and switched to normal saline. The patients in the observation group were treated with ropacaine hydrochloride after regular contractions. Combined sufentanil continued to analgesia until the end of labor. The average labor time of the three groups of pregnant women, the VAS score of perineal repair, the satisfaction of analgesia in the second stage of labor, and the mode of delivery were statistically analyzed. RESULTS: Compared with pregnant women without analgesia, the mean delivery time and perineal repair VAS scores of the control group and the observation group were significantly lower. The difference was statistically significant (P<0.05), but compared with the control group, the observation group was pregnant. The mean time of delivery was not statistically significant (P>0.05, the VAS score of perineal repair was significantly lower, and the difference was statistically significant (P<0.05). Compared with the pregnant women without analgesia, the second stage of labor of the control group and the observation group. The analgesic satisfaction score was significantly higher, the postpartum hemorrhage volume was significantly lower, and the difference was statistically significant (P<0.05). At the same time, compared with the control group, the second stage of labor analgesia satisfaction score was significantly higher in the observation group. The amount of bleeding was significantly lower, and the difference was statistically significant (P<0.05). Compared with the no analgesic group, the cesarean delivery rate was lower in the control group and the observation group, and the difference was statistically significant (P<0.05). There was no significant difference in the rate of cesarean delivery between the control group and the observation group (P>0.05). Compared with the no analgesic group, the birth weight and the different time of the control group and the observation group were significantly different. Considered significant P <0.05, but the control group and the observation of the newborn and neonatal birth weight at different times Apgar score was no significant difference P> 0.05. Conclusion: The application of full-range epidural labor analgesia in pregnant women with analgesia can achieve good analgesic effect, which can not only significantly improve the satisfaction of analgesia and perineal repair in the second stage of labor, but also reduce the rate of cesarean delivery. It is worth promoting.

相似文献/References:

[1]周秀芹、闫洪超、武玉清.全程硬膜外分娩镇痛对第二产程镇痛满意度及分娩方式的影响[J].徐州医科大学学报,2018,38(10):681.
 [J].Journal of Xuzhou Medical University,2018,38(10):681.

更新日期/Last Update: 2018-10-19