可行走式无痛分娩临床研究.docVIP

可行走式无痛分娩临床研究 　　[摘要] 目的 研究可行走式?o痛分娩在产妇自控硬膜外镇痛的可行性及临床价值。 方法 选取本院2016年6～11月期间分娩产妇100例随机分组。对照组进行自然分娩，未采取镇痛措施；可行走式镇痛组应用硬膜外阻滞麻醉进行无痛分娩。比较两组产妇镇痛效果、各个产程时间、分娩疼痛评分、自然分娩率、剖宫产率；可行走式镇痛组镇痛期间进行Bromage评估运动神经阻滞程度。 结果 可行走式镇痛组产妇镇痛效果显著优于对照组（P0.05）。可行走式镇痛组自然分娩率明显高于对照组，而剖宫产率显著低于对照组（P0.05）。镇痛组产妇镇痛期间与对照组一样，均能行走。 结论 可行走式无痛分娩在产妇自控硬膜外镇痛的可行性及临床价值高，能有效减轻产妇分娩阵痛，缩短第一产程时间，提高自然分娩率，降低剖宫产率，值得推广。 　　[关键词] 镇痛；产科；镇痛；可行走式 　　[中图分类号] R714.3 [文献标识码] B [文章编号] 1673-9701（2017）03-0104-03 　　Clinical study of ambulatory painless labor 　　YI Hongzhang 　　Department of Anesthesiology， Xiangyin County Peoples Hospital of Hunan Province， Xiangyin 414600，China 　　[Abstract] Objective To evaluate the feasibility and clinical value of ambulatory painless labor in maternal-controlled epidural analgesia. Methods A total of 100 puerperas delivered from June to November 2016 were randomly divided into two groups. The control group underwent natural childbirth， and did not take analgesic measures. The ambulatory analgesic group was treated with epidural anesthesia for painless childbirth. Analgesic effect， the time of each stage of labor， childbirth pain score， natural delivery rate and cesarean section rate between the two groups were compared. The degree of motor nerve block was assessed by Bromage during analgesia in the ambulatory analgesic group. Results The analgesic effect of ambulatory analgesia group was significantly superior to that of the control group（P0.05）. The rate of natural delivery in the ambulatory analgesia group was significantly higher than that in the control group， and the rate of cesarean section was significantly lower than that of the control group（P0.05）. Like with the control group， analgesia group could walk during the labor analgesia. Conclusion The feasibility and clinical value of ambulatory painless labor in maternal-controlled epidural analgesia is high， which can effectively reduce the pain of maternal labor， and shorten the first labor time. Ambulatory painless labor can also improve