无痛分娩方式的实施对降低剖宫产率的临床作用及影响探究.docVIP

无痛分娩方式的实施对降低剖宫产率的临床作用及影响探究 【摘要】目的：探究无痛分娩方式的实施对降低剖宫产率的临床作用及影响。方法：选取我院自2012年10月至2014年10月收治的160例足月妊娠初产妇作为研究对象，采取随机数字表法分为持续硬膜外镇痛组与产妇自控硬膜外镇痛泵组，每组各80例。对比两组产妇产程中的镇痛效果（VAS评分法）、第一第二产程长短、剖宫产率以及新生儿乏氧发生率（1、5min apgar评分）。结果：持续硬膜外镇痛组VAS评分为（167±064）分，产妇自控硬膜外镇痛泵组VAS评分为（532±291）分，组间相比差异显著（t 398，P 005）。持续硬膜外镇痛组剖宫产率及新生儿乏氧发生率（1、5min apgar评分 7）分别为125%，625%，250%；产妇自控硬膜外镇痛泵组剖宫产率及新生儿乏氧发生率（1、5min apgar评分 7）分别为2250%， 4000%， 2625%，组间相比差异显著（χ2 421，P 005；χ2 526 ，P 005；χ2 454 ，P 005）。结论：采用持续硬膜外镇痛的无痛分娩镇痛效果较采用产妇自控硬膜外镇痛泵的无痛分娩镇痛效果好，而且剖宫产率显著降低，新生儿乏氧率低。 【关键词】无痛分娩方式；剖宫产率；持续硬膜外镇痛；产妇自控硬膜外镇痛泵 【Abstract】Objectives： To explore the clinical effect and influence of painless childbirth on the reduction of the cesarean rate. Methods： 160 cases of full-term pregnancy unipara treated in our hospital from October 2012 to October 2014 were selected as research subjects and were randomly divided into continuous epidural analgesia group and maternal-controlled epidural analgesia pump group， 80 cases in each group. Intrapartum analgesia （VAS score）， the length of the first and second stage of labor， cesarean rate and the incidence of neonatal hypoxic （1，5min apgar score） of two groups were compared. Results： The VAS score of continuous epidural analgesia group was （1.67±064）， and VAS score of maternal-controlled epidural analgesia pump group was （5.32±2.91）. The difference between the two groups was significant （t 3.98， P 005）. Cesarean rate and the incidence of neonatal hypoxic （1， 5min apgar score 7） of continuous epidural analgesia group were 1.25%， 6.25%， 250%， respectively. Cesarean rate and the incidence of neonatal hypoxic （1， 5min apgar score 7） of maternal-controlled epidural analgesia pump group were 22.50%， 4000%， 26.25%， respectively. The difference between two groups were significant （χ2 4.21， P 005； χ2 5.26， P 005； χ2 4.54， P 005）. Conclusion： The use of continuous epidural analgesia relatively painless childbirth has better effect than maternal-controlled epidural analgesia painless childbirth