摘要
目的 探讨用微量注射泵控制硬膜外阻滞镇痛分娩的效果 ,以及对产程、产式等的影响。方法 对 37例要求无痛分娩的孕妇进行微量注射泵控制硬膜外阻滞 ,选择同时期分娩的相同条件的孕妇 37例作为对照组。对两组的分娩方式、总产程时间、宫口扩张 3cm～ 10cm所需时间、第二产程时间 ,产程中阴道检查次数、催产素使用和使用量、新生儿Apgar评分、产后出血量、产褥热、产后住院天数、产妇和新生儿的抗生素使用进行对照。 结果 37例镇痛效果满意 ,镇痛后疼痛消失。无痛分娩组宫口扩张 3cm～ 10cm所需时间和第二产程时间与对照组相比无显著性差异 ,但总产程时间无痛分娩组较对照组长 ,并有显著性差异 (P <0 .0 5 )。新生儿 5分钟Apgar评分两组无显著性差异。产后出血无痛分娩组平均 32 4ml,对照组平均 2 89ml,有显著性差异 (P <0 .0 5 )。剖宫产率无痛分娩组和对照组分别为 18.92 %和 2 1.6 2 % ,无显著性差异。两组在产后住院天数、抗菌素的使用等方面均无显著性差异。结论 微量注射泵控制硬膜外阻滞镇痛分娩效果显著 ,安全 ,可显著降低因社会因素引起的剖宫产率。虽总产程时间较长 ,但对新生儿评分。
Objective To evaluate the effect of epidural analgesia on laboring time and the mode of delivery.Mthods Thirty-seven pregnant women at term were given epidural analgesia from August to December of 2000,another thirty-seven patients of same term were chosen as the control group.The delivery time,delivery mode,infants' Apgar score,bleeding amount,oxytocin usage and hospitalized days were compared between them.Results The whole laboring time was longer in epidural analgesia group than that in the control group,the difference was significant.Apgar score of five minute was not different between two groups.The bleeding amount in epidural analgesia group was 324ml,in the control group it was 289ml,there was significant difference.The cesarean section rate in epidural analgesia group was 18.92 percent,in the other group it was 21.62 percent,there was no difference between them.There was also no difference between two groups in hospitalized days and antibody usage.Conclusion Low-dose epidural analgesia for the laboring is safe and effective.It can lower the cesarean section rate.The delivery time is longer but it is no bad effect on Apgar score and recovery after delivery.
出处
《苏州大学学报（医学版）》
CAS
2002年第4期422-424,共3页
Suzhou University Journal of Medical Science
