国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (3): 277-279.

• 论著 • 上一篇    下一篇

可行走式无痛分娩的镇痛效果及其对母儿的影响

李秋容，梁丽芬，陈振明   

  1. 528434 广东省中山市，中山市阜沙医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-06-15 发布日期:2014-06-15

Analgesic Effect of Ambulatory Labor Analgesia and Its Influence on the Mother and Fetus

LI Qiu-rong，LIANG Li-fen，CHEN Zhen-ming   

  1. Department of Obstetrics and Gynecology，Fusha Hospital of Zhongshan City，Zhongshan 528434，Guangdong Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-06-15 Online:2014-06-15

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摘要： 目的：分析可行走式无痛分娩的镇痛效果及其对母儿的影响。方法：回顾性分析2012年9月—2013年9月收治的177例孕产妇，按其分娩方式分为无痛分娩组（n=83）和常规分娩组（n=94），比较2组产妇各产程疼痛评分、产程及新生儿情况。结果：无痛分娩组剖宫产率低于常规分娩组（P＜0.05）；无痛分娩组第一产程较常规分娩组缩短，其第二产程较常规分娩组延长（P＜0.05），2组产妇第三产程差异无统计学意义（P＞0.05）；无痛分娩组产妇各产程视觉模拟评分法（VAS）评分均低于常规分娩组（P＜0.05）；2组胎儿窘迫发生率及Apgar评分差异均无统计学意义（P＞0.05）；2组产妇产后3 h出血发生率及出血量差异均无统计学意义（P＞0.05）；常规分娩组未见产后不良反应，无痛分娩组4例（5.6%）出现体位性低血压，3例（4.2%）下肢肌力减弱，均经对症治疗后于3 h内缓解。结论：可行走式无痛分娩具有良好的镇痛效果，可显著降低产妇各产程的疼痛感觉，且不会发生严重产后并发症，对胎儿无害，是一种有效、安全的分娩镇痛方式，值得临床推广应用。

关键词: 镇痛, 硬膜外, 分娩, 分娩过程, 产后出血

Abstract: Objective：Effects of analgesia effect of ambulatory labor analgesia and its influence on the mother and fetus. Methods: A retrospective analysis of 177 cases of pregnant women in our hospital from September 2012 to September 2013. According to the mode of delivery, the cases were divided into painless delivery grouｐ （ｎ＝８３） ａｎd conventional delivery group （ｎ＝９４）, and compared the two groups in the labor pain score, birth process and newborn situation. Results: Cesarean section rate was significantly lower in painless childbirth group than that in conventional delivery group; the first stage in painless childbirth group is shorter than the conventional delivery group ,the second stage of labor was significantly prolonged compared with that inthe conventional delivery grｏｕｐ （Ｐ＜０．０５）, third stage has no significant statistical difference in two groｕｐｓ （Ｐ＞０．０５）; painless childbirth pregnant woman the production process of VAS scores were significantly lower than that of conventional delivery grouｐ （Ｐ＜０．０５）; and the incidence of neonatal Apgar score of two groups of fetal distress were no significant statistical difference （Ｐ＞０．０５）; the two group of postpartum hemorrhage and the incidence of bleeding volume were not significantly difference （Ｐ＞０．０５）; conventional delivery group no untoward reaction of postpartum, painless labor group 4 cases of orthostatic hypotension （５．６％）, 3 cases of lower extremity muscle weakness （４．２％）, were after symptomatic treatment in 3 h mitigation. Conclusions: Ambulatory labor analgesia can significantly reduce maternal pain of the production process, and will not lead to severe postpartum complications, fetal harm, is an effective, safe childbirth analgesia method, is worthy of clinical application.

Key words: Analgesia, epidural, Parturition, Labor, obstetric, Postpartum hemorrhage