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不同时机实施分娩镇痛对初产妇产程及新生儿结局的影响

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目的 观察不同时机实施分娩镇痛对初产妇产程及新生儿结局的影响。方法 回顾性分析分娩的134名初产妇临床资料。按照实施分娩镇痛的时机分为两组,将宫口扩张<3 cm实施分娩镇痛的70名产妇设为对照组,将宫口扩张≥3 cm实施分娩镇痛的64名设为观察组。对比两组初产妇产程时间、自然分娩率及新生儿1min、5 min的Apgar评分。结果 观察组第一产程时间比对照组短(P<0。05)。两组初产妇顺产率、阴道助产率、中转剖宫产率比较,差异无统计学意义(P>0。05)。观察组新生儿1 min的Apgar评分(9。95±0。04)分高于对照组的(9。87±0。11)分(P<0。05)。结论 在初产妇宫口扩张≥3 cm时实施分娩镇痛可缩短第一产程时间,降低新生儿窒息发生风险,且不会增加阴道助产率、剖宫产率。
Effects of different timing of labor analgesia on parturient labor and neonatal outcomes
Objective To observe the effects of different timing of labor analgesia on parturient labor and neonatal outcomes.Methods The clinical data of 134 primipara who gave birth were analyzed retrospectively.They were divided into two groups according to the timing of labor analgesia.70 women with uterine dilation<3 cm for labor analgesia were set as control group,and 64 women with uterine dilation ≥3 cm for labor analgesia were set as observation group.The labor time,natural delivery rate and Apgar score of newborns in 1 min and 5 min were compared between the two groups.Results The first stage of labor in the observation group was shorter than that in the control group(P<0.05).There was no significant difference in the rate of vaginal delivery,vaginal midwifery and cesarean section between the two groups(P>0.05).The Apgar score(9.95±0.04)points in the observation group was higher than that in the control group(9.87±0.11)points(P<0.05).Conclusion Labor analgesia in primipara with uterine dilation ≥3 cm can shorten the time of the first stage of labor,reduce the risk of neonatal asphyxia,and does not increase the rate of vaginal midwifery and cesarean section.

Labor analgesiaPrimiparaStages of labor

黄淑妮、钟浩森

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东莞市妇幼保健院麻醉科,广东 东莞 523000

东莞市妇幼保健院妇产科,广东 东莞 523000

分娩镇痛 初产妇 产程

东莞市社会发展科技项目临床试验注册中国临床试验注册中心项目

20221800900412ChiCTR2200064127

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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