作　　者： (蒋红梅）;

机构地区： 福建省第二人民医院妇产科,福建福州350000

出　　处： 《中外医疗》 2017年第19期115-117,共3页

摘　　要： 目的分析无痛分娩对产程及母婴妊娠结局的影响。方法方便抽选该院于2016年1—12月分娩的166名产妇作为该次研究对象,随机将她们分组,83名为对照组(自然分娩)、83名为无痛分娩组(采取无痛分娩),对两组产程与母婴妊娠结局情况进行分析、比较。结果无痛分娩组产后出血量(301.1±140.3)m L要多于对照组的(283.3±74.4)m L,但比较差异无统计学意义(P>0.05),在第一产程用时(743.2±209.5)min、(607.6±218.6)min、第二产程用时(59.0±32.7)min、(45.7±31.5)min上,无痛分娩组要长于对照组(P<0.05);无痛分娩组围产儿并发症8.4%、产妇并发症9.6%与对照组的8.4%、8.4%比较差异无统计学意义(P>0.05),另两组间在自然分娩(88.0%、73.5%)、阴道助产(3.6%、0.0%)以及剖宫产(21.7%、12.0%)方面的比较均差异无统计学意义(P>0.05),对照组缩宫素使用37.3%要比无痛分娩组78.3%低(P<0.05)。结论产妇分娩时采用无痛分娩的方式虽然可能会延长产程时间,增加缩宫素使用率,但无痛分娩对产妇分娩方式、产妇并发症发生率与新生儿健康都没有明显影响,而且还能降低产妇分娩疼痛,在临床上的应用价值巨大。 Objective To analyze the effect of painless delivery on the labor course and maternal and infant pregnant outcome. Methods 166 cases of delivery women giving birth in our hospital from January 2016 to December 2016 were convenient selected and randomly divided into two groups with 83 cases in each, the control group and the painless delivery group respectively adopted the natural labor and painless delivery, and the labor course and maternal and infant pregnant outcomes were compared between the two groups. Results The bleeding amount after delivery in the painless delivery group was more than that in the control group[(301.1±140.3)m L vs(283.3±74.4)m L], and the difference was statistically significant(P>0.05), and the first labor course time and second labor course time in the painless delivery group were longer than those in the control group, [(743.2±209.5),(607.6±218.6)min vs(59.0±32.7),(45.7±31.5)min](P<0.05), and the differences in the incidence rates of complications of perinatal infants and complications of delivery women between the painless delivery group and control group were not statistically significant(8.4%, 9.6% vs 8.4%,8.4%), and the differences were not statistically significant(P>0.05), and the differences in the incidence rates of natural labor, vaginal delivery and cesarean section between the two groups were not statistically significant(P>0.05),(88.0%,73.5%, 3.6%,0.0%, 21.7%,12.0%), and the pitocin use rate in the control group was lower than that in the painless delivery group(37.3% vs 78.3%)(P<0.05). Conclusion The painless delivery may prolong the labor time, increase the pitocin use rate, but the painless delivery has no obvious effect on the delivery method, incidence rate of complications and health in newborns but also reduce the delivery pains, and it is of great application value in clinic.

关 键 词： 无痛分娩 产程 母婴 妊娠结局