Influence Value of Walking Epidural Labor Analgesia on Clinical Labor Outcome,Labor Duration and Pain of Elderly Parturients
Objective To study the analgesic effect of walking epidural labor on elderly parturients.Methods A total of 80 elderly parturients admitted to Taixing People's Hospital from June 2021 to June 2023 were selected as the study objects and grouped by random number table method.They were divied innto reference group(n=40,routine de-livery)and study group(n=40,walking epidural delivery analgesia).Self-rating anxiety scale(SAS)score,numerical rating scale(NRS)score,cortisol(Cor)level,prolactin(PRL)level,mean artery pressure(MAP)level,incidence of ab-normal fetal heart monitoring events,oxytocin use rate,forceps use rate,duration of labor,postpartum blood loss and Apgar score were compared between the two groups.Results The SAS and NRS scores of the study group after 0.5 h,1 h and 2 h of analgesia,respectively,were lower than those of the reference group,and the differences were statisti-cally significant(all P<0.001).After 2 h of analgesia,the serum Cor level of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).At the time of full opening of the uterus,the serum PRL level was higher in the study group than that in the reference group,and the difference was statistically sig-nificant(P<0.05).MAP levels,oxytocin utilization rate and forceps utilization rate at the time of 3 cm of uterine open-ing,at the time of 10 cm of uterine opening,and at the time of fetal delivery were lower in the study group compared with the reference group,and the differences were statistically significant(all P<0.05).The incidence of maternal and infant adverse events was lower in the study group at 2.50%compared to 15.00%in the reference group,and the dif-ference was statistically significant(χ2=3.164,P<0.05).The duration of labor was shorter in the study group than that in the reference group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of abnormal fetal cardiac monitoring events,postpartum hemorrhage,and Apgar score be-tween the two groups(all P>0.05).Conclusion Using walking epidural labor analgesia for elderly parturients can exert good analgesic effect,shorten labor process,and achieve better clinical delivery outcome with good safety.
万方数据
维普
