280例水针注射分娩镇痛临床观察.docVIP

280例水针注射分娩镇痛的临床观察 　　【摘 要】目的：施行水针注射镇痛分娩的临床效果观察，探讨分娩镇痛的有效方法。方法：随机抽取2008年1月至2012年10月于北京京煤集团总医院产科住院具有阴道分娩条件的380例产妇，其中设立观察组280例，为水针镇痛组，在产程进入活跃期施行水针镇痛，对照组100例，未施行水针镇痛。观察水针注射后的分娩镇痛效果、比较两组间的产程时间、分娩方式、催产素使用情况、产后出血量及新生儿评分等。结果：观察组水针镇痛效果显效率为82.14%，有效率为17.86%，总有效率为100%。观察组活跃期时间较对照组短（P0.01），观察组第二产程时间短于对照组（P0.05），观察组产后出血量较对照组有显著差异（P0.01），剖宫产率及催产素使用率均下降（P0.05），新生儿情况两组无明显差异。结论：结果显示，水针镇痛分娩临床镇痛效果好，并且可以缩短产程，减少产后出血，有效降低剖宫产率及催产素使用率，对母婴无不良影响，操作简便，安全实用，是值得临床推广应用的分娩镇痛方法之一。 　　【关键词】水针镇痛；分娩；观察 　　THE CLINICAL OBSERVATION OF CASES ON DELIVERY OUTCOM BY HYDRO-ACUPUNCTURE YU Lijun 　　Beijing Rehabilitation Hospital， Beijing 100041， P.R.China 　　[Abstract]Objective： The observed the effects on delivery outcome by hydro-acupuncture and to explore the effective way of labor analgesia. Methods： Random sample of 380 cases of maternal obstetric hospital delivery in our hospital from January 2008 to October 2012， 280 cases of the observation group， water acupuncture analgesia group， enter the active phase of the purposes of water acupuncture analgesia during childbirth， control group 100cases， not the purposes of water acupuncture analgesia. Childbirth analgesic effect observed after injection of the water needle between the two groups were compared labor duration， mode of delivery， use of oxytocin， postpartum hemorrhage and newborn ratings. Results： The observation group water analgesia effective efficiency of 82.14%， the effective rate of 17.86%， the total effective rate was 100%. The active period of time of the observation group compared with the control group of short（P 0.01）， Observation group， the second stage of labor time is shorter than the control group （P 0.05）， postpartum hemorrhage of the observation group than the control group， a significant difference （P 0.01）， cesarean section rate and the use of oxytocin rate decreased （P 0.05）， the newborns situation was no significant difference between the two groups. Conclusion： The results show that the water analgesia in childbirth clinical a