摘要
目的 分析椎管内分娩镇痛产妇经阴道试产中转剖宫产的影响因素.方法 选取 2021年 3 月至2023 年 3 月在汶上县妇幼保健计划生育服务中心行椎管内分娩镇痛经阴道试产的 868 例产妇.收集并分析产妇的临床资料,采用单因素及多因素logistic回归分析椎管内分娩镇痛产妇经阴道试产中转剖宫产的影响因素.结果 两组产次、产前体重指数、分娩孕龄、胎儿体重、镇痛时发热、镇痛时宫口大小、追加药物次数比较,差异有统计学意义(P<0.05).多因素logistic回归分析显示,产次>1次、镇痛时宫口大小>3 cm是椎管内分娩镇痛产妇经阴道试产中转剖宫产的保护因素,胎儿体重≥4000 g、镇痛时发热、追加药物次数>1次是危险因素(P<0.05).结论 产次>1次、镇痛时宫口大小>3 cm是椎管内分娩镇痛产妇经阴道试产中转剖宫产的保护因素,胎儿体重≥4000 g、镇痛时发热、追加药物次数>1次是危险因素,应加强产程管理,尽早识别危险因素,术前做好准备工作以确保母婴安全.
Abstract
Objective To analyze the influencing factors of vaginal delivery transferring to caesarean section in parturients with intraspinal labor analgesia.Methods From March 2021 to March 2023,868 parturients with intraspinal labor analgesia who underwent vaginal delivery in Wenshang County Maternal and Child Health Care Family Planning Service Center were selected.The clinical data of parturients were collected and analyzed,and the influencing factors of vaginal delivery transferring to caesarean section in parturients with intraspinal labor analgesia were analyzed by univariate and multivariate logistic regression.Results There were statistically significant differences between the two groups in delivery time,prenatal body mass index,gestational age,fetal weight,fever during analgesia,uterine orifice size during analgesia,and times of additional drugs(P<0.05).Multivariate logistic regression analysis showed that the number of births>1 and the uterine orifice size>3 cm during analgesia were the protective factors for vaginal delivery transferring to caesarean section in parturients with intraspinal labor analgesia,and the fetal weight≥4000 g,fever during analgesia,and the times of additional drugs>1 were the risk factors(P<0.05).Conclusion The number of births>1 and the uterine orifice size>3 cm during analgesia are the protective factors for vaginal delivery transferring to caesarean section in parturients with intraspinal labor analgesia,and the fetal weight≥4000 g,fever during analgesia,and the times of additional drugs>1 are the risk factors.Management of labor process should be strengthened,risk factors should be identified as early as possible,and preoperative preparations should be made to ensure the safety of the mother and child.
国家科技期刊平台
NSTL
万方数据