镇痛分娩降低剖宫产临床分析.docVIP

镇痛分娩降低剖宫产临床分析 　　[摘要] 目的 对镇痛分娩降低剖宫产发生比例的效果进行分析。 方法 随机选取2014年1月―2015年1月在该院进行分娩的产妇200例，根据分娩方法的选择进行分组，常规组患者100例，进行正常分娩；镇痛组患者100例，应用镇痛麻醉措施下分娩，对两组患者的分娩情况进行分析。结果 镇痛组患者剖宫产比例、成功阴道分娩的比例、患者满意度、总产程时间、产后出血发生比例、胎儿窘迫发生比例、新生儿评分均明显优越与常规组患者，差异有统计学意义（P0.05）。两组患者均没有发生严重不良反应和不良事件发生。 结论 应用镇痛分娩可有效的降低剖宫产发生率，明显提高顺产比例，有效提高患者的满意度，缩短产程时间，降低胎儿窘迫发生比例，提高新生儿评分，减轻产妇的心理和身体负担，增强产妇顺产分娩的自信心，有效降低剖宫产发生比例。 　　[关键词] 镇痛分娩；剖宫产；顺产；患者满意度 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0120-02 　　Clinical Analysis of Anodyne Labor to Decrease C-sect 　　MA Lin1， PU Ling-yu1， WANG Qin1， ZHANG De-jun2， LI Rong-min3， ZHU Ting-fen4 ； 　　1.Department of Gynecology， Zhaotong maternal and Child Health Hospital， Zhaotong， Yunnan Province， 657000 China； 　　2.Department of Anesthesiology， Zhaotong maternal and Child Health Hospital， Zhaotong， Yunnan Province， 657000 China； 　　3.Neonatal department， Zhaotong maternal and Child Health Hospital， Zhaotong， Yunnan Province， 657000 China 　　4.Obstetrics and Gynecology Department， Zhaotong first peoples Hospital， Zhaotong， Yunnan Province， 657000 China 　　[Abstract] Objective To analyze the effect of anodyne labor to decrease the occurring ratio of C-sect. Methods 200 cases of？delivery women laboring in our hospital from January 2014 to January 2015 were selected and divided into two groups with 100 cases in each according to the delivery method， the conventional group labored normally， the analgesia group labored with analgesic anesthesia measures， the delivery conditions of the two groups were analyzed. Results The cesarean section ratio ，successful vaginal delivery ratio， patient satisfaction degrees， duration of total labour course， incidence of postpartum hemorrhage， incidence of fetal distress and neonatal apgar score in the analgesia group were obviously better than those in the conventional group， the difference was obvious with statistical significance （P0.05），both groups had no serious adverse reactions and adverse events. Conclusion The application of anodyne la