联合麻醉分娩镇痛对正常产妇分娩方式及产程影响分析.docVIP

联合麻醉分娩镇痛对正常产妇分娩方式及产程影响分析 　　【摘要】 目的：分析?合麻醉分娩镇痛对正常产妇分娩方式及产程的影响。方法：回归性分析笔者所在医院2014年8月-2016年10月收治的1134例正常产妇的临床资料，根据是否采用分娩镇痛分为对照组（n=497）和观察组（n=637）。对照组产妇未采用任何分娩镇痛措施，观察组患者则采用联合麻醉分娩镇痛。对比两组产妇阴道顺产、产钳助产、剖宫产的构成比及缩宫素的使用率；分别记录比较两组产妇胎儿窘迫、活跃期延长、第二产程延长、产后出血及新生儿窒息等情况；并将两组产妇各产程时间与总产程时间进行比较。结果：观察组产妇产钳助产率较高，剖宫产率较低，且缩宫素使用率较高，与对照组患者相比，差异有统计学意义（P0.05）。观察组产妇胎儿窘迫、活跃期延长、第二产程延长的发生率均比对照组高，差异均有统计学意义（P0.05）；观察组产妇第一产程、第二产程及总产程时间均长于对照组，差异均有统计学意义（P0.05）。结论：联合麻醉分娩镇痛不能提高阴道顺产率，并且缩宫素使用率较高，还会增加胎儿窘迫、活跃期延长及第二产程延长的发生率，且第一产程、第二产程及总产程时间较长，因此对正常产妇需合理选择使用联合麻醉进行分娩镇痛。 　　【关键词】 联合麻醉； 镇痛； 分娩方式； 产程 　　doi：10.14033/j.cnki.cfmr.2017.22.012 文章编号 B 文章编号 1674-6805（2017）22-0025-02 　　Analysis of the Effect of Combined Labor Analgesia on Delivery Mode and Delivery of Normal Pregnant Women/SHEN Yi，CAO Zhi-fang，LIN Yi-yong.//Chinese and Foreign Medical Research，2017，15（22）：25-26 　　【Abstract】 Objective：To analyze the effect of combined labor analgesia on the delivery mode and labor process of normal pregnant women.Method：1134 cases of normal maternal clinical data of the author’s hospital in August 2014 to October 2016 were analyzed，according to whether to use labor analgesia was divided into control group（n=497） and observation group（n=637）.The control group wasn，t given labor analgesia，while the observation group was treated with combined anesthesia.The maternal vaginal delivery rate，forceps delivery rate，cesarean section rate and utilization rate of contractions of two groups were compared.The maternal fetal distress，prolonged active phase，prolonged second stage of labor，postpartum hemorrhage and neonatal asphyxia of two groups were compared.The labor time and total labor time of two groups were compared.Result：The maternal forceps delivery rate and cesarean section rate of the observation group was lower，and the use of oxytocin was higher compared with the control group，the differences were statistically significant（P0.05）.The maternal fetal distress，prolonged active phase，prolonged second stage of incidence of the ob