连续性硬膜外麻醉对产妇无痛分娩镇痛效果、产程及母婴结局的影响

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摘要目的探讨连续性硬膜外麻醉对产妇无痛分娩镇痛效果、产程及母婴结局的影响。方法选取2015年1月～2019年4月我院收治的500 例产妇作为研究对象，按照随机数字表法分为A 组（250 例）与B 组（250 例）。A 组未行分娩镇痛，B 组采用连续性硬膜外麻醉。比较两组产妇的镇痛效果、产程时间和母婴结局。结果经过干预后，B 组产妇的视觉模拟量表（VAS）评分高于A 组，第一、第二产程时间短于A 组，自然分娩率高于A 组，新生儿窒息率低于A 组，差异均有统计学意义（P＜0.05）。结论在产妇无痛分娩中应用连续性硬膜外麻醉，能够有效缓解产妇的分娩疼痛程度，缩短产妇的产程时间，提高产妇的自然分娩率，有利于改善母婴结局，值得在临床中应用推广。

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	龙廷辉

关键词 ：连续性硬膜外麻醉, 无痛分娩, 镇痛效果, 产程影响, 母婴结局

Abstract：Objective To explore the influence of continuous epidural anesthesia on analgesic effect, labor process and maternal and infant outcome of painless delivery in parturients.Methods A total of 500 cases of parturient patients admitted to hospital from January 2015 to April 2019 were selected as the study objects, and they were divided into group A (250 cases) and group B (250 cases) according to the random number table method.Group A did not receive labor analgesia, and group B received continuous epidural anesthesia.The analgesic effect, duration of labor process and maternal and infant outcomes of the two groups were compared.Results After intervention, the visual analogy scale (VAS)score of group B was higher than that of group A, the first and second duration of labor process in group B were shorter than that in group A, the rate of spontaneous delivery in group B was higher than that in group A, and the rate of neonatal asphyxia in group B was lower than that in group A, the differences were statistically significant (P＜0.05).Conclusion The application of continuous epidural anesthesia of painless delivery in parturients can effectively relieve the degree of labor pain, shorten the time of labor process, improve the rate of spontaneous delivery, and improve the outcome of maternal and infant.It is worthy of popularizing and application in clinical practice.

Key words： Continuous epidural anesthesia Painless delivery Analgesic effect labor process effect Maternal and infant outcome

引用本文:

龙廷辉. 连续性硬膜外麻醉对产妇无痛分娩镇痛效果、产程及母婴结局的影响[J]. 中国当代医药, 2020, 27(13): 118-120.
LONG Ting-hui. Influence of continuous epidural anesthesia on analgesic effect, labor process and maternal and infant outcome of painless delivery in parturients. 中国当代医药, 2020, 27(13): 118-120.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I13/118

[1]	曹家刚，李胜华，冯迪，等.不同浓度罗哌卡因复合舒芬太尼分娩镇痛对产妇产间发热的影响[J].临床麻醉学杂志，2019，35（4）：327-330.
[2]	韩春萍，肖文萍，李娟，等.气囊仿生助产术在硬膜外麻醉镇痛分娩产妇中的应用效果[J].中国当代医药，2019，26（7）：140-142.
[3]	Vial F，Simon L，Auchet T，et al.Impact of uterine exteriorisation on intraoperative nausea or vomiting during caesarean delivery under neuraxial anaesthesia[J].Anaesth Crit Care Pain Med，2020，39（1）：117-118.
[4]	叶晓丹，莫燕虹，林姗姗.无保护会阴接生联合会阴阻滞麻醉用于自然分娩的临床分析[J].中国医药科学，2019，9（2）：100-103.
[5]	蓝丽霞，平永美.硬膜外阻滞麻醉对临床无痛分娩效果与分娩方式及母婴健康影响[J].中国现代医生，2019，57（6）：99-103.
[6]	Bouvet L，Roukhomovsky M，Desgranges FP，et al.Infrared thermography to assess dermatomal levels of labor epidural analgesia with 1 mg/mL ropivacaine plus 0.5 μg/mL Sufentanil：a prospective cohort study[J].Int J Obstet Anesth，2020，41：53-58.
[7]	董金填，李群杰，姚伟瑜.瑞芬太尼静脉分娩镇痛的研究进展[J].临床麻醉学杂志，2019，35（6）：607-610.
[8]	冯欣，叶琳，许忠波，等.拉玛泽分娩法对分娩结局及分娩镇痛效果的Meta 分析[J].中国当代医药，2019，26（20）：4-7.
[9]	Najid NM，Razak TA，Günayd1n DB.Analgesia and anaesthesia management of labour and caesarean delivery for a parturient with paramyotonia congenita[J].Turk J Anaesthesiol Reanim，2019，47（4）：158-163.
[10]	尹悦，李艳梅，董莎娜.导乐陪伴、自由体位、腰-硬联合麻醉分娩镇痛联合应用对促进自然分娩的效果观察[J].中外医学研究，2019，17（20）：10-12.
[11]	Visser WA，Zwijnenburg RD.Management of neuraxial anaesthesia for intrapartum caesarean delivery based on the quality of epidural labour analgesia：a case series[J].Eur J Anaesthesiol，2019，36（8）：615-617.
[12]	侯晓燕，高菁，耿青.椎管内阻滞用于分娩镇痛对产后早期盆底功能的影响[J].临床合理用药杂志，2019，12（8）：150-151.
[13]	贺玉媛.无痛分娩对产程和母婴结局的影响[J].当代医学，2019，25（15）：48-50.
[14]	张惠，陈伟.无痛分娩对产程及母婴结局的影响[J].中国妇幼健康研究，2019，30（4）：487-490.
[15]	李亚男，张雪英.无痛分娩中不同体位对减少产程干预的影响[J].中国现代医学杂志，2019，29（8）：70-73.
[16]	李霞，闫金玲，杨玉秀，等.水中分娩与硬膜外麻醉无痛分娩对母婴结局的影响研究[J].河北医药2018，40（4）：554-557.