硬膜外分娩镇痛在初产妇分娩中的镇痛效果及对患者妊娠结局的影响
Analgesic Effect of Epidural Labor Analgesia in Primipara Delivery and its Effect on Pregnancy Outcome
雷英 1龚卫萍 1艾亚云1
作者信息
- 1. 资溪县人民医院妇产科,江西 资溪 335300
- 折叠
摘要
目的 研究硬膜外分娩镇痛在初产妇分娩中的镇痛效果及对患者妊娠结局的影响.方法 选取 2022 年 1 月-2023 年 10 月资溪县人民医院妇产科接收的 72 例初产妇为研究对象,行随机数字表法分为对照组与研究组,每组 36 例.对照组采用常规经阴道分娩方式,研究组在其基础上应用硬膜外分娩镇痛,比较两组产程、产后出血量、产后排尿情况(尿潴留、排尿困难)、产妇负面情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、镇痛效果[各产程视觉模拟评分(VAS)]、妊娠结局(产妇顺产率、胎儿宫内窘迫及新生儿窒息发生率、新生儿Apgar评分).结果 研究组产程短于对照组,且产后出血量少于对照组(P＜0.05);研究组尿潴留、排尿困难总发生率低于对照组(P＜0.05);两组分娩后SAS、SDS评分均高于分娩前,但研究组分娩后SAS、SDS评分低于对照组(P＜0.05);研究组各产程 VAS 评分均低于对照组(P＜0.05);研究组产妇顺产率、新生儿 Apgar 评分均高于对照组(P＜0.05).结论 硬膜外分娩镇痛在初产妇分娩中具有良好的镇痛效果,可缩短产程,减少产妇产后出血及排尿障碍,缓解产妇负面情绪,减轻其产程疼痛,改善妊娠结局.
Abstract
Objective To study the analgesic effect of epidural labor analgesia in primipara delivery and its effect on pregnancy outcome.Methods From January 2022 to Qctober 2023,72 primiparas received in the Department of Obstetrics and Gynecology of Zixi County People's Hospital were selected as the research objects.They were divided into control group and study group by random number table method,with 36 primiparas in each group.The control group was given conventional vaginal delivery,and the study group was given epidural labor analgesia on the basis of the control group.The labor process,postpartum hemorrhage,postpartum urination(urinary retention,dysuria),maternal negative emotions[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],analgesic effect[Visual Analogue Scale(VAS)of each labor process],pregnancy outcome(maternal natural birth rate,incidence of fetal distress and neonatal asphyxia,neonatal Apgar score)were compared between the two groups.Results The labor process of the study group was shorter than that of the control group,and the amount of postpartum hemorrhage was less than that of the control group(P<0.05).The total incidence of urinary retention and dysuria in the study group was lower than that in the control group(P<0.05).The SAS and SDS scores of the two groups after delivery were higher than those before delivery,but the SAS and SDS scores of the study group after delivery were lower than those of the control group(P<0.05).The VAS score of each stage of labor in the study group was lower than that in the control group(P<0.05).The natural birth rate and neonatal Apgar score of the study group were higher than those of the control group(P<0.05).Conclusion Epidural labor analgesia has a good analgesic effect in the delivery of primiparas,which can shorten the labor process,reduce postpartum hemorrhage and urination disorders,relieve maternal negative emotions,reduce labor pain,and improve pregnancy outcomes.
关键词
初产妇/硬膜外分娩镇痛/产程/妊娠结局/负面情绪/排尿情况Key words
Primiparas/Epidural labor analgesia/Laborprocess/Pregnancy outcome/Negative emotions/Urination situation引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据