摘要
目的:探讨腰硬膜外联合麻醉用于无痛分娩对于产妇疼痛程度、分娩方式、产程时间、产后出血及新生儿窒息的影响及有效的护理措施。方法:以2010年5月～2011年2月自愿实行腰硬联合麻醉无痛分娩的初产妇140例为观察组,以同期分娩的无镇痛的初产妇140例为对照组。观察两组的镇痛效果、产程时间、分娩方式、产后出血、排尿时间及新生儿情况。结果:观察组与对照组在两组比较,观察组较对照组的疼痛程度明显减轻,差异有统计学意义(P<0.01);观察组第一产程时间明显缩短(P<0.05);两组在第二、三产程、剖宫产例数、低位产钳例数、产后出血例数、产后排尿例数及新生儿窒息例数方面无明显差异(P>0.05)。结论:腰硬联合麻醉用于分娩镇痛,可明显减轻分娩疼痛、缩短第一产程,对产妇及新生儿无明显影响,是一种安全有效的无痛分娩方法。
Objective： To investigate the impact and effective care measures of epidural anesthesia for painless childbirth delivery to the maternal level of pain, manner of delivery, labor duration, postpartum hemorrhage and newborn asphyxia. Methods ： 140 primip- ara hospitalized from 5th 2010 to 2nd 2011 who are voluntary to carry out epidural anesthesia painless childbirth as the observation group. 140 primipara in the same period as the control group. The analgesic effect of the two groups, labor duration, and manner of de- livery, postpartum hemorrhage, voiding time and newborns were observed. Results： Compared of observation group with control group, the pain is reduced significantly in the observation group, the difference was statistically significant （P 〈 0. 01 ） ; The first stage of the observation group was significantly shorter （ P 〈 0. 05） ; The two groups in the second and third stage of labor, the number of cases of cesarean section, low forceps, postpartum hemorrhage, postpartum voiding and the number of cases of neonatal asphyxia was no signifi- cant difference （ P 〉 0.05） . Conclusion： Epidural anesthesia for labor analgesia can significantly reduce the labor pain, shorten the first stage of labor, which had no significant effect on maternal and newborn, and it is a safe and effective pain - free birth.
出处
《中国民族民间医药》
2012年第8期35-36,38,共3页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
腰硬联合麻醉
无痛分娩
临床观察
护理
Epidural Analgesia
Painless LaborClinical observationNursing
