[1]雷 英,龚卫萍,艾亚云.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[J].医学信息,2024,37(24):44-47.[doi:10.3969/j.issn.1006-1959.2024.24.012]
　LEI Ying,GONG Weiping,AI Yayun.Analgesic Effect of Epidural Labor Analgesia in Primipara Delivery and its Effect on Pregnancy Outcome[J].Journal of Medical Information,2024,37(24):44-47.[doi:10.3969/j.issn.1006-1959.2024.24.012]
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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()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
44-47
栏目:
论著
出版日期:
2024-12-15

文章信息/Info

Title:
Analgesic Effect of Epidural Labor Analgesia in Primipara Delivery and its Effect on Pregnancy Outcome
文章编号:
1006-1959（2024）24-0044-04
作者:
雷 英; 龚卫萍; 艾亚云
资溪县人民医院妇产科，江西 资溪 335300
Author(s):
LEI Ying; GONG Weiping; AI Yayun
Department of Obstetrics and Gynecology,Zixi County People’s Hospital,Zixi 335300,Jiangxi,China
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
Keywords:
Primiparas; Epidural labor analgesia; Laborprocess; Pregnancy outcome; Negative emotions; Urination situation
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2024.24.012
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.

参考文献/References:

[1]袁庆明,莫俏颜,邓小群,等.可行走性硬膜外分娩镇痛对自然分娩单胎足月初产妇宫缩产程分娩结局及镇痛效果的影响[J].中国妇幼保健,2023,38(2):205-208.[2]史景发,张蓉,高玲,等.硬脊膜穿破硬膜外阻滞在分娩镇痛中的应用效果及对产妇子宫收缩的影响[J].广西医学,2022,44(23):2734-2739.[3]杨彩霞,孙学丽.硬膜外分娩镇痛初产妇产程进展和母婴结局分析[J].中国妇幼保健,2022,37(12):2170-2172.[4]钱佩佩,郭显峰,白植斌,等.硬膜外分娩镇痛对初产妇产后早期盆底功能的影响[J].中国医学影像技术,2022,38(3):417-420.[5]杨明月,李晓芳,张红伟,等.硬膜外阻滞分娩镇痛对产妇泌乳素水平的影响[J].新乡医学院学报,2018,35(3):216-218,223.[6]朱立杰,吕小静,闫战秋,等.硬脊膜穿破硬膜外阻滞与腰硬联合阻滞在初产妇分娩镇痛中的应用效果及对母婴安全的影响[J].中国计划生育和妇产科,2021,13(12):35-38.[7]幸泽艇,王梅,张春元,等.自控硬膜外分娩镇痛对肥胖初产妇母婴结局的影响[J].山东医药,2021,61(24):83-86.[8]张晶晶,何磊,王绍林.硬膜外镇痛分娩方式对初产妇妊娠结局的影响[J].蚌埠医学院学报,2021,46(8):1080-1082.[9]段宝敏,洪凡真,徐永萍,等.实施硬膜外分娩镇痛时机对初产妇妊娠结局的影响[J].现代妇产科进展,2021,30(7):528-531.[10]宋玉荣,詹磊,孙莉.硬膜外分娩镇痛对分娩过程和分娩方式及产后抑郁的影响[J].中华全科医学,2021,19(6):904-907.[11]幸贵萍,王亚平.舒芬太尼复合罗哌卡因硬膜外麻醉对无痛分娩产妇母婴结局的影响[J].贵州医科大学学报,2018,43(12):1479-1483.[12]何玉花,徐凤英,吴华彬.不同时机行硬膜外分娩镇痛对初产妇产程及早期盆底功能的影响[J].中国医药导刊,2020,22(11):758-762.[13]胡明霞,王昕,魏婷婷.硬膜外麻醉分娩镇痛对初产妇分娩质量及盆底肌功能的影响[J].中国煤炭工业医学杂志,2020,23(4):404-407.[14]包菊,邓春梅,曲元.不同硬膜外镇痛模式对肥胖产妇镇痛效果和分娩方式的影响[J].临床麻醉学杂志,2019,35(10):948-951.[15]叶辉,刘敏杰,袁桂静,等.硬膜外神经阻滞麻醉对无痛分娩初产妇医院感染及母婴结局的影响[J].中华医院感染学杂志,2019,29(19):3027-3030.[16]毕小宝,张永福,李煜,等.腰-硬联合与硬膜外阻滞分娩镇痛对初产妇产程及母婴安全性的影响[J].医学研究与教育,2019,36(4):19-23.[17]于志强,张丽,郎楠,等.硬膜外分娩镇痛对产妇体温和新生儿评分的影响[J].中国实验诊断学,2019,23(4):620-622.[18]程边媛,陈红波,方向东,等.硬膜外分娩镇痛对初产妇产程曲线的影响[J].现代妇产科进展,2019,28(4):290-292,295.[19]刘莉萍,宣荣荣,朱虹,等.硬膜外分娩镇痛对产妇炎症因子、补体及免疫功能的影响分析[J].中华全科医学,2019,17(2):241-244.[20]徐丹,周仕彬,罗方毅,等.罗哌卡因复合舒芬太尼硬膜外麻醉在初产妇经阴道分娩产妇无痛分娩中的应用及对产程及母婴的结局影响[J].河北医学,2018,24(12):1953-1956.[21]陈琳,赵文静.地佐辛复合低浓度盐酸罗哌卡因硬膜外自控分娩镇痛对高龄初产妇应激反应及产后盆底功能影响[J].中国计划生育学杂志,2022,30(1):72-75.[22]王坚伟,马瑞,封洲,等.硬膜外分娩镇痛对产妇阴道分娩后认知功能的影响:前瞻性队列研究[J].中华围产医学杂志,2019,22(2):118-122.[23]王鑫,夏涵,李斌,等.罗哌卡因复合舒芬太尼持续硬膜外麻醉对无痛分娩镇痛效果及母婴状况的影响[J].现代生物医学进展,2018,18(7):1293-1296.

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更新日期/Last Update: 1900-01-01