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目的目的研究分析不同分娩方式对产妇及新生儿围产期并发症的影响。方法法回顾性分析于2015年10月~11月期间于我院妇产科住院足月妊娠产妇84例,按照分娩方式不同分为三组。Ⅰ组产妇行剖宫产,Ⅱ组产妇行硬膜外麻醉分娩镇痛,Ⅲ组为正常分娩无镇痛。比较分析新生儿产后1、5min的Apgar评分、15min、24h的NACS评分、脐血血气分析情况、产妇相关手术指标以及产妇满意率。结果脐血气分析中,各组乳酸含量之间比较均存在统计学差异(P<0.05);其余无统计学差异(P>0.05)。新生儿生儿产后1、5min Apgar评分、15min、24h的NACS评分比较比较,三组无统计学差异(P>0.05)。产妇手术出血量、肠蠕动恢复时间、住院时间以及下床活动时间相比较,Ⅰ组显著高于Ⅱ、Ⅲ组(P<0.05);术后24h宫高下降幅度、泌乳时间3组比较无统计学差异(P>0.05)。产妇满意率比较,Ⅱ组产妇满意率显著高于Ⅰ、Ⅲ组(P<0.05)。结论硬膜外分娩镇痛可作为妇女选择的生育服务内容,但仍存在麻醉意外等各种风险,在临床中应加强产前健康教育,并落实知情选择原则。
Objective To study the effects of different modes of delivery on perinatal complications in maternal and newborn infants. Methods: A retrospective analysis of 84 cases of full-term pregnant women hospitalized in obstetrics and gynecology in our hospital from October to November 2015 were divided into three groups according to different modes of delivery. Group Ⅰ maternal cesarean section, group Ⅱ maternal epidural anesthesia labor analgesia, Ⅲ group of normal labor without analgesia. The Apgar scores at 1, 5 min, the NACS scores at 15 min and 24 h, the blood gas analysis of cord blood, maternal-related surgical indexes and maternal satisfaction rate were analyzed. Results In the umbilical blood gas analysis, there was a significant difference (P <0.05) between the contents of lactic acid in each group; there was no significant difference in other groups (P> 0.05). Neonatal neonatal 1, 5min Apgar score, 15min, 24h NACS score comparison, no significant difference between the three groups (P> 0.05). Group I was significantly higher than those in group II and group III (P <0.05), and there was no statistical difference in the rate of decrease of palace height and the time of lactation after operation Learning difference (P> 0.05). Maternal satisfaction rate, maternal satisfaction rate in group Ⅱ was significantly higher than that in group Ⅰ and Ⅲ (P <0.05). Conclusion Epidural analgesia may serve as a reproductive service for women. However, there are still various risks such as anesthesia accidents. Prenatal health education should be strengthened and the principle of informed choice should be implemented.