分娩镇痛对产后母婴影响探究.docVIP

分娩镇痛对产后母婴影响探究【摘要】 目的 探讨分娩镇痛对产后母婴的影响。方法 2008年11月至2009年2月在我院足月阴道分娩、无妊娠合并症和并发症、无手术助产的初产妇82例(41例产妇实施分娩镇痛,41例未行分娩镇痛)。记录并比较两组孕产妇产后2 h及24 h血压和出血量、产后24 h疼痛程度、产后心理状况评估、产后尿潴留、新生儿Apgar评分及新生儿黄疸指数。结果 两组孕产妇产后血压、出血、疼痛、SCL-90及尿潴留无明显差异(P0.05);新生儿Apgar评分及新生儿黄疸指数两组比较无明显差异(P0.05)。结论 分娩镇痛对产后母亲生理(如血压、排尿、疼痛、出血等)和心理(如抑郁、焦虑、敌对、恐怖等)无明显影响;分娩镇痛对新生儿无不良影响。 【关键词】 分娩镇痛;产后;母婴;影响 A study on the postpartum influence of labor analgesia on mothers and infants 【Abstract】 Objective To investigate the postpartum influence of labor analgesia on mothers and infants. Methods This study recruited 82 primiparas in our hospital from November 2008 to February 2009, who had vaginal term delivery and had no gestational complications and obstetrical operations. They were divided into two groups: the analgesia group(41 cases) and control group (41 cases).The blood pressure of postpartum, the quantity of postpartum hemorrhage, the effect of analgesia after parturition, the score of SCL-90,postpartum urinary retention, the Apgar scores of infants and the index of neonatal jaundice were compared between the two groups. Results There were no significant differences between the two groups in the blood pressure of postpartum, the quantity of postpartum hemorrhage, the effect of analgesia after parturition,the score of SCL-90 and postpartum urinary retention(P0.05).There were also no differences in the Apgar scores of fetus and the index of neonatal jaundice(P0.05).Conclusions The labor analgesia has no influence on physiology(blood pressure, pain, hemorrhage, et al)and psychology(depress, anxiety, rivalry, phobophobia, et al) of postpartum mothers.Labor analgesia has no bad influence on infants. 【Key words】 Labor analgesia; Postpartum;Mothers and infants;Influence 作者单位:510630中山大学附属第三医院妇产科 随着医学模式的转变,人们生活质量的提高,分娩镇痛逐渐成为各大医院提高产科服务质量的热点。目前认为理想的分娩镇痛必须具备下列特点[1]:①对母婴无影响;②易于给药,起效快,作用可靠能满足整个产程镇痛的要求;③避免运动阻滞,不影响产程;④产妇清醒,可参与分娩过程;⑤必要时可满足手术的需要。由此可见,分娩镇痛首先应关注其对母婴的影响,这不仅包括镇痛过程中的影响,也包括产后的影响。文章进行分娩镇痛的孕产妇产后母婴情况进行了观察研究,现报