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硬膜外麻醉无痛分娩的安全性及对分娩结局的影响

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目的 探讨无痛分娩中应用硬膜外麻醉的安全性及对分娩结局的影响.方法 回顾性选取2022年4月—2023年5月菏泽市妇幼保健院分娩的122例产妇的临床资料,按照不同分娩处理方法分为对照组(n=61,常规分娩方式)和研究组(n=61,硬膜外麻醉无痛分娩方式).比较两组产妇自然分娩率、产程时间、产后出血量、新生儿Apgar评分、不良母婴结局发生情况.结果 研究组自然分娩率为95.08%(58/61),高于对照组的83.61%(51/61),差异有统计学意义(P<0.05).研究组的第一、第二、第三产程时间均短于对照组,差异有统计学意义(P均<0.05).研究组产后出血量低于对照组,新生儿Apgar评分高于对照组,差异有统计学意义(P均<0.05).研究组不良母婴结局总发生率为3.28%(2/61),低于对照组的13.11%(8/61),差异有统计学意义(χ2=3.921,P<0.05).结论 无痛分娩中应用硬膜外麻醉有助于缩短产程时间,提高新生儿Apgar评分,减少产后出血量,提高自然分娩率,降低不良母婴结局发生率,是一种安全有效的分娩方式.
The Safety of Painless Delivery Under Epidural Anesthesia and Its Impact on Delivery Outcomes
Objective To explore the safety of using epidural anesthesia in painless delivery and its impact on delivery outcomes.Methods Clinical data of 122 parturients who delivered in Heze Maternal and Child Health Hospital from April 2022 to May 2023 were retrospectively selected and divided into control group(n=61,conventional delivery)and study group(n=61,painless delivery with epidural anesthesia)according to different delivery methods.The natural de-livery rate,labor time,postpartum blood loss,neonatal Apgar score and the state of adverse maternal and infant out-comes were compared between the two groups.Results The natural delivery rate of the study group was 95.08%(58/61),higher than that of the control group 83.61%(51/61)the difference was statistically significant(P<0.05).The first,second and third stages of labor in the study group were all shorter than those in the control group,and the differences were statistically significant(all P<0.05).The postpartum blood loss in the study group was lower than that in the con-trol group,and the neonatal Apgar score was higher than that in the control group,the differences were statistically sig-nificant(both P<0.05).The total incidence of adverse maternal and infant outcomes in the study group was 3.28%(2/61),which was lower than that in the control group 13.11%(8/61),and the difference was statistically significant(χ2=3.921,P<0.05).Conclusion Epidural anesthesia in painless delivery is a safe and effective way to shorten labor time,improve Apgar score,reduce postpartum bleeding,increase the rate of natural delivery,and reduce the incidence of adverse maternal and infant outcomes.

Painless deliveryEpidural anesthesiaSecurityDelivery outcomeNatural childbirth

郝玉萍

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山东省菏泽市妇幼保健院妇产科,山东 菏泽 274000

无痛分娩 硬膜外麻醉 安全性 分娩结局 自然分娩

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(22)