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目的:目的:探讨镇痛分娩以及自然分娩各自取得的临床效果,分析镇痛分娩在临床上发挥的作用。方法:选择2013年1月至2014年12月该院2 314例经阴道分娩的孕妇,其中756例产妇采用镇痛分娩,归入研究组,其余1558例产妇则选择自然分娩,纳入对照组,对两组产妇的最终分娩结局进行分析,探讨两种分娩方式的应用效果。结果:研究组最终取得显著镇痛效果率为82.4%,对照组能耐受疼痛率为35.0%,研究组镇痛率大大高于对照组(P<0.05);研究组产妇第一产程耗费的时间为(7.15±1.72)h,明显短于对照组的(9.22±2.05)h(P<0.05);两组产妇在第二产程以及第三产程的比较上不具备统计学意义(P>0.05);研究组产后出血量为188.40±35.18 ml,对照组为252.41±40.96 ml,研究组出血量明显少于对照组(P<0.05);研究组住院时间为1.82±1.23天,与对照组的2.45±1.52天相比不具备统计学意义(P>0.05)。结论:采用镇痛分娩方式能够发挥良好的镇痛作用,达到缩短第一产程时间的目的,且不会造成严重的产后出血问题,不会影响产妇的住院时间,建议推广应用。
Objective: To investigate the clinical effects of analgesia and spontaneous labor, and analyze the role of analgesia in clinical practice. Methods: From January 2013 to December 2014, 2 314 pregnant women of vaginal delivery in our hospital were selected. Among them, 756 maternal women were given analgesia and were assigned to the study group. The other 1558 maternal women chose natural delivery and were included in the control group. The final delivery of two groups of maternal outcomes were analyzed to explore the effect of two modes of delivery. Results: The study group achieved a significant analgesic effect rate of 82.4%, the control group was able to tolerate the pain rate was 35.0%, the study group analgesic rate was significantly higher than the control group (P <0.05) (7.15 ± 1.72) h, which was significantly shorter than that of the control group (9.22 ± 2.05) h (P <0.05). There was no significant difference between the two groups in the second stage of labor and the third stage of labor (P> 0.05 ); Postpartum hemorrhage was 188.40 ± 35.18 ml in the study group and 252.41 ± 40.96 ml in the control group, and the bleeding volume in the study group was significantly less than that in the control group (P <0.05). The hospitalization duration was 1.82 ± 1.23 days in the study group, 2.45 ± 1.52 days was not statistically significant (P> 0.05). Conclusion: Analgesia mode of delivery can exert good analgesic effect to shorten the time of the first stage of labor, and will not cause serious postpartum hemorrhage, will not affect the maternal hospital stay, it is recommended to promote the application.