首页|哌替啶镇静和硬膜外分娩镇痛对初产妇产程的影响分析

哌替啶镇静和硬膜外分娩镇痛对初产妇产程的影响分析

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目的 对比分析初产妇潜伏期使用哌替啶镇静和硬膜外分娩镇痛的效果.方法 选取于本院分娩的初产妇100例为研究对象,随机分为对照组及研究组,每组50例.研究组初产妇在潜伏期使用哌替啶镇静,对照组初产妇在潜伏期采用硬膜外分娩镇痛.比较两组产妇的第一产程时长、第二产程时长、总产程时长及分娩结局.结果 研究组第一产程、第二产程及总产程时间分别为(519.80±127.36)min、(52.50±12.36)min、(579.85±124.46)min,均短于对照组的(661.40±156.66)min、(64.60±16.66)min、(753.28±219.65)min,两组比较差异有统计学意义(P<0.05).研究组中转剖宫1例,对照组7例,研究组中转剖宫产率低于对照组,两组比较差异有统计学意义(P<0.05).结论 哌替啶镇静和硬膜外分娩镇痛对初产妇的产程影响较大,哌替啶镇静组的第一、第二及总产程时长明显缩短.
Analysis of the influence of pethidine sedation and epidural analgesia on labor process of primipara
Objective To compare and analyze the effects of pethidine sedation and epidural analgesia during the incubation period of primipara.Methods 100 cases of primipara who gave birth in the hospital were selected as the research objects and were randomly divided into a control group and a study group,with 50 cases in each group.Parturients in the study group were sedated with pethidine during the incubation period,while parturients in the control group were given epidural analgesia during the incubation period.The first labor duration,second labor duration,total labor duration and labor outcome of the two groups were compared.Results The first,second and total stages of labor were(519.80±127.36)min,(52.50±12.36)min,(579.85±124.46)min,respectively,which were shorter than(661.40±156.66)min,(64.60±16.66)min and(753.28±219.65)min in the control group,and the differences between the two groups were statistically significant(P<0.05).The conversion rate of cesarean section in the study group was 1 case,and that in the control group was 7 cases.The rate of cesarean section in the study group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Pethidine sedation and epidural analgesia have a great effect on the labor process of primipara,and the first,second and total labor duration of pethidine sedation are significantly shortened.

Incubation periodPrimiparaLabor stagePethidineEpidural labor analgesia

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南宁市第一人民医院产科,广西南宁 530022

潜伏期 初产妇 产程 哌替啶 硬膜外分娩镇痛

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(6)
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