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目的探讨硬膜外无痛分娩在临床中应用的效果。方法选择2012年3月-2012年6月在我院行硬膜外无痛分娩的100例孕产妇为无痛分娩组,在分娩前后给予持续硬膜外阻滞镇痛。同时,选择同期100例未接受镇痛而分娩的孕产妇为对照组,未给予任何镇痛处理。观察并比较无痛分娩组与对照组孕产妇的分娩方式、产程时间、镇痛效果、缩宫素使用情况、新生儿Apgar评分以及产后出血等并发症发生情况。结果无痛分娩组孕妇给予硬膜外镇痛后,VAS评分显著低于用药前及对照组,差异具有统计学意义(P<0.05);无痛分娩组产妇第一产程、总产程时间显著短于对照组,产后出血发生率低于对照组,差异具有统计学意义(P<0.05);而产后失血量、宫缩乏力、产后尿潴留、下肢麻痹发生率、新生儿窒息、胎儿宫内窘迫发生率与对照组相比,无统计学差异(P>0.05)。结论硬膜外无痛分娩起效快、作用稳定,对母婴影响较小,同时有效促进宫口扩张,缩短产程,临床效果可靠。
Objective To investigate the effect of epidural painless delivery in clinical application. Methods From March 2012 to June 2012, 100 pregnant women with epidural painless delivery in our hospital were given painless delivery group and received continuous epidural analgesia before and after delivery. In the meantime, 100 maternal women who did not receive analgesia during the same period were selected as the control group, and no analgesia was given. Observe and compare the mode of delivery, labor time, analgesic effect, oxytocin use, Apgar score and postpartum hemorrhage and other complications in painless childbirth group and control group. Results After giving epidural analgesia to painless childbirth group, the VAS score was significantly lower than that before medication and the control group (P <0.05). The painless labor group had significantly shorter duration of labor and shorter duration of labor In the control group, the incidence of postpartum hemorrhage was lower than that of the control group (P <0.05), while postpartum blood loss, uterine atony, postpartum urinary retention, the incidence of lower limb paralysis, neonatal asphyxia and fetal distress Compared with the control group, there was no significant difference (P> 0.05). Conclusion Epidural painless delivery has rapid onset, stable effect and little effect on maternal and infant. At the same time, it can effectively promote the expansion of cervix and shorten the birth process, and the clinical effect is reliable.