分娩镇痛150例临床分析

摘要

Objective to investigate the infiuence of labor analgesia on birth process, postpartum hemorrhage, labour style and neonatal asphyxia.Methods150 cases of maternal labor analgesia (analgesia group)and 150 cases of normal pregnant women(control group) in the same period were analyzed, birth proces,postpartum hemorrhage,labour style and maternal satisfaction, neonatal apgar score of two groups for comparison.Resultthe incidence of cesarean section in the analgesia group was lower than that in the control group,and the incidence of vaginal delivery was higher than that of the control group,and the difference between the two groups was statistically significant (P<0.05).the labor process of the analgesic group was lower than that of the control group, and the difference between the two groups was statistically significant (P<0.05).the amount of postpartum hemorrhage and neonatal apgar score in the two groups were not statistically significant (P>0.05).the Vas score of the analgesic group was lower than that in the control group (P<0.05) at each time point after the treatment. the maternal satisfaction in the analgesia group was significantly higher than that in the control group, and the difference between the two groups was statistically significant (P<0.05).Conclusion Maternal labor analgesia can reduce pain, can reduce the time of labor process,improve maternal confidence in natural childbirth,promote the smooth progress of the labor process, reduce the incidence of neonatal asphyxia.%目的：对分娩镇痛对孕妇产程、产后出血、分娩方式、新生儿窒息的影响进行探讨。方法采用回顾性分析法对本院近年来行分娩镇痛的150例产妇(镇痛组)和同期分娩的150例正常产妇(对照组)的临床资料进行分析，两组产妇的产程、产后出血情况、分娩方式、满意度，新生儿apgar评分等进行观察和对比。结果镇痛组剖宫产率低于对照组，阴道产发生率高于对照组，两组间具有统计学差异(P<0.05)。比较两组总产程，镇痛组产程低于对照组，两组间具有统计学差异(P<0.05)。两组产后出血量和新生儿apgar评分不具有统计学差异(P>0.05)。镇痛组用药后各时点 Vas评分低于对照组(P<0.05)。镇痛组产妇满意度明显高于对照组产妇满意度，两组间具有统计学差异(P<0.05)。结论分娩镇痛可以使产妇分娩疼痛有所减少，有助于缩短产程的时间，有助于增强产妇自然分娩的信心，促进产程顺利进行，降低新生儿窒息发生率。