妇儿健康导刊2024,Vol.3Issue(23) :81-85.

分娩镇痛对子痫前期产妇血流动力学状况及妊娠结局的影响

Effect of labour analgesia on haemodynamic status and pregnancy outcome in women with preeclampsia

张淑芳 刘萍 邵桂珍 洪芳 王苑
妇儿健康导刊2024,Vol.3Issue(23) :81-85.

分娩镇痛对子痫前期产妇血流动力学状况及妊娠结局的影响

Effect of labour analgesia on haemodynamic status and pregnancy outcome in women with preeclampsia

张淑芳 1刘萍 2邵桂珍 2洪芳 3王苑4
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作者信息

  • 1. 新疆兵团第一师医院麻醉科,新疆 阿克苏 843000
  • 2. 新疆兵团第一师医院产科,新疆 阿克苏 843000
  • 3. 新疆兵团第一师医院神经内科,新疆 阿克苏 843000
  • 4. 新疆兵团第一师医院康复医学科,新疆 阿克苏 843000
  • 折叠

摘要

目的 分析分娩镇痛对子痫前期产妇血流动力学状况及妊娠结局的影响.方法 选取2021年4月至 2024年 3 月于新疆兵团第一师医院分娩的100 例子痫前期产妇为研究对象,根据产妇是否选择分娩镇痛分为观察组(n=56,分娩镇痛)、对照组(n=44,未采用分娩镇痛),比较两组相关临床指标.结果 镇痛后10、30、60 min及宫口开全时,观察组平均动脉压、外周血管阻力及心输出量均低于对照组(P<0.05);观察组第一、第二、第三产程均较对照组长(P<0.05);观察组宫口开1、3、5 cm时疼痛评分均较对照组低(P<0.05);两组1、10 min新生儿Apgar评分、不良母婴结局发生率比较无差异(P>0.05).结论 分娩镇痛在子痫前期产妇中应用,能够稳定血流动力学,减轻疼痛.

Abstract

Objective To analyze the effect of labor analgesia on hemodynamic status and pregnancy outcome in women with preeclampsia.Methods A total of 100 cases of preeclampsia women who delivered in the First Division Hospital in Xinjiang Corps from April 2021 to March 2024 were selected as the research objects.According to whether the women chose labor analgesia,they were divided into the observation group(n=56,labor analgesia)and the control group(n=44,no labor analgesia).The relevant clinical indicators of the two groups were compared.Results The mean arterial pressure,systemic vascular resistance,and cardiac output in the observation group were lower than those in the control group at 10,30,and 60 min after analgesia and at the full open of the cervical orifice(P<0.05).The first,second and third stages of labor in the observation group were longer than those in the control group(P<0.05).The cervical orifice open 1,3,and 5 cm,the pain scores of the observation group were lower than those of the control group(P<0.05).There were no differences in neonatal Apgar scores at 1 and 10 min and the incidence of adverse maternal and infant outcomes between the two groups(P>0.05).Conclusion The application of labor analgesia in women with preeclampsia can stabilize hemodynamics and reduce pain.

关键词

分娩镇痛/子痫前期/血流动力学/妊娠结局

Key words

Labor analgesia/Preeclampsia/Hemodynamics/Pregnancy outcome

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出版年

2024
妇儿健康导刊
婚姻与家庭杂志社

妇儿健康导刊

ISSN:2097-115X
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