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目的分析镇痛分娩对瘢痕子宫阴道分娩的价值。方法 87例瘢痕子宫产妇,随机分为对照组(57例)和研究组(30例)。研究组分娩时采用硬膜外镇痛,对照组未采用镇痛方式。对比两组阴道总产程时间、产后24 h出血量、新生儿体重和新生儿Apgar评分。结果研究组总产程时间、新生儿体重、24 h出血量和新生儿Apgar评分分别为(531.3±89.4)min、(3.5±0.3)kg、(386.00±212.04)ml、(9.0±0.2)分,对照组分别为(526.6±96.5)min、(3.4±0.3)kg、(363.50±128.03)ml、(9.1±0.1)分,但两组比较差异无统计学意义(P>0.05)。结论严格掌握瘢痕子宫阴道分娩指征,分娩中使用硬膜外镇痛安全可靠,不增加母婴并发症。
Objective To analyze the value of analgesia delivery for vaginal delivery of scarring. Methods 87 cases of uterine scar were randomly divided into control group (57 cases) and study group (30 cases). The study group used epidural analgesia during childbirth and did not use analgesia in the control group. The duration of vaginal delivery, the amount of bleeding at 24 h postpartum, the weight of neonates and the Apgar score of neonates were compared. Results The total labor duration, neonatal weight, 24 h blood loss and neonatal Apgar score were (531.3 ± 89.4) min, (3.5 ± 0.3) kg, (386.00 ± 212.04) ml and (9.0 ± 0.2) The control group were (526.6 ± 96.5) min, (3.4 ± 0.3) kg, (363.50 ± 128.03) ml and (9.1 ± 0.1) points respectively, but there was no significant difference between the two groups (P> 0.05). Conclusion Strict grasp of indications for vaginal delivery of scarring, epidural analgesia during delivery is safe and reliable, does not increase the complications of mother and child.