潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后影响.docVIP

潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后影响 　　[摘要]目的 探讨潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局以及新生儿预后的影响。方法 随机选取2015年12月～2016年9月于我院通过麻醉分娩镇痛的孕妇120例，分为观察组和对照组，各60例。对照组在孕妇宫口开大3 cm的活跃期给予椎管内阻滞麻醉分娩，观察组在孕妇宫口开大1～2 cm时的潜伏期给予椎管内阻滞麻醉分娩。比较两组孕妇的妊娠结局和新生儿的预后；比较两组孕妇的第一和第二产程时间、顺产率、剖宫率、新生儿Apgar评分；比较两组产妇在分娩镇痛后5、30、60 min等不同时间点的VAS评分。结果 观察组产程时间、顺产率均明显优于对照组，差异有统计学意义（P0.05）；分娩镇痛后5、30、60 min，观察组患者的VAS评分均明显优于对照组，差异均有统计学意义（P0.05）；观察组新生儿的生后1 min Apgar评分[（8.30±1.24）分]明显高于对照组[（7.08±1.05）分]，差异有统计学意义（P0.05）。结论 潜伏期行椎管内阻滞麻醉分娩镇痛方式可快速缓解产妇疼痛，改善孕妇妊娠结局和围生儿结局，值得临床推广。 　　[关键词]潜伏期；椎管内阻滞麻醉；妊娠结局；新生儿预后 　　[中图分类号] R714.4 [文献标识码] A [文章编号] 1674-4721（2017）04（c）-0078-03 　　[Abstract]Objective To investigate the effect of intrauterine spinal anesthesia on the outcome of pregnancy and the prognosis of neonates.Methods 120 cases of pregnant women using anesthesia labor analgesia in our hospital were selected from December 2015 to September 2016，which were evenly divided into control group and observation group randomly，60 cases in each group.Spinal anesthesia block anesthesia was used in the control group when the cervix opened more than 3 cm during the active period，while the cervix opened for 1-2 cm during the latency in the observation group.The first and second birth time，incidence of compliance，cesarean section，neonatal Apgar score and VAS score of patients 5，30，60 min after the labor analgesia were compared between the two groups.Results The labor time，the vaginal delivery rate of the delivery group were significantly bett than those of the control group，the differences were statistically significant （P0.05）；the VAS score of the observation group 5，30，60 min after the labor analgesia were significantly better than those of the control group，the differences were statistically significant （P0.05）.The Apgar score 1 min after birth in the observation group [（8.30±1.24） scores] was significantly higher than that in the control group [（7.08±1.05） scores]，the difference was statistically significant （P0.05）.Conclusion Intermittent period of spi