无痛分娩用于初产妇的效果及对母婴结局的影响

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摘要目的探究无痛分娩应用初产妇的临床效果及对母婴结局的影响。方法选取2016年9月～2017年11月在我院行择期分娩的88例初产妇作为研究对象，通过随机数字表法将其分为对照组与实验组，每组各44例。对照组初产妇采用常规分娩法，实验组初产妇采用无痛分娩法。比较两组初产妇的镇痛效果、产程时间（第一产程、第二产程、总产程）以及母婴结局（产后出血量、改剖宫产、新生儿Apgar评分、并发症）情况，并比较两组初产妇的泌乳活动时间。结果经不同方法分娩后，实验组初产妇的镇痛优良率为97.73%，对照组为22.73%，实验组明显优于对照组（P＜0.05）；实验组第一产程时间为（9.45±2.11）h、总产程时间为（10.43±2.22）h，均明显短于对照组（P＜0.05）；两组初产妇的第二产程时间比较差异无统计学意义（P＞0.05）；两组母婴结局比较，实验组初产妇改剖宫产率为4.55%、并发症发生率为11.36%，均低于对照组（P＜0.05）；实验组初产妇的产后出血量为（203.51±28.49）ml、新生儿Apgar评分为（9.65±1.32）分，与对照组比较差异无统计学意义（P＞0.05）；实验组初产妇的泌乳活动时间为（17.64±2.64）h，明显短于对照组，差异均有统计学意义（P＜0.05）。结论将无痛分娩应用于初产妇中，可缩短产程，改善母婴结局，值得在今后推广应用。

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	张巧颖

关键词 ：无痛分娩, 初产妇, 临床效果, 母婴结局

Abstract：Objective To investigate the clinical effect of painless labor on primiparae and its influence on maternal and infant outcomes.Methods A total of 88 primiparae delivered in a selective time in our hospital from September 2016 to November 2017 were selected as research objects.By a random number table,they were evenly divided into control group and experimental group.In the control group,conventional delivery was used,while in the experimental group,painless labor was adopted.The analgesic effect,labor duration(first stage of labor,second stage of labor，and total labor)and maternal and infant outcomes including postpartum amount of bleeding,transfer to cesarean section,neonatal Apgar score,and complications,and lactation activity time of primipara were compared between the two groups.Results After different delivery,the excellent and good rate of anesthetic effect in primiparae in the experimental group was 97.73%,while 22.73%in the control group.The rate in the experimental group was significantly better than that in the control group(P＜0.05).In the experimental group,the time of the first labor stage and total labor duration were(9.45±2.11)h and(10.43±2.22)h，both of which were significantly shorter than those in the control group(P＜0.05).The difference in the second labor stage between the two groups was not significant(P＞0.05).On comparing the maternal and infant outcomes,the rate of transferring to cesarean section and incidence of complications were 4.55%and 11.36%in experimental group respectively,which were both lower compared with those in the control group(P＜0.05).The amount of postpartum hemorrhage was (203.51±28.49)ml in the experimental group,and the neonatal Apgar score was (9.65±1.32)points,which were not displayed statistical differences compared with the control group (P＞0.05).The time of lactation activity in the experimental group was(17.64±2.64)h,significantly shorter than that of the control group(P＜0.05).Conclusion The application of painless labor in primiparae can shorten the labor process and improve the maternal and infant outcomes,which is worthy of promotion in the future.

Key words： Painless delivery Primipara Clinical effect Maternal and infant outcomes

引用本文:

张巧颖. 无痛分娩用于初产妇的效果及对母婴结局的影响[J]. 中国当代医药, 2018, 25(11): 99-101.
ZHANG Qiao-ying. The effect of painless labor on primiparae and its influence on maternal and infant outcomes. 中国当代医药, 2018, 25(11): 99-101.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I11/99

[1]	林小磊.无痛分娩用于临床初产妇的效果及对母婴结局的影响[J].国际医药卫生导报，2015，21（2）：225-227.
[2]	曾慧琳，詹伦娟.无痛分娩用于临床初产妇的效果及对母婴结局的影响[J].中国药物经济学，2015，10（6）：104-106.
[3]	李彩虹，亢琴仙，陈亚莉.无痛分娩应用于初产妇的临床效果及对母婴结局的影响[J].临床医学研究与实践，2017，2（9）：107-108.
[4]	曲淑明.无痛分娩对临床初产妇的效果及对母婴结局的影响[J].中国当代医药，2017，24（10）：122-124.
[5]	季小清.不同浓度罗哌卡因复合芬太尼用于分娩镇痛效果及母婴结局比较[J].现代仪器与医疗，2017，23（3）：54-56.
[6]	章春凤，周艳林.生物节律对初产妇分娩方案、镇痛效果及母婴结局的影响[J].实用临床医药杂志，2015，19（15）：78-80.
[7]	罗海霞.产妇分级护理对初产妇母婴结局及护理满意度的影响[J].实用临床医药杂志，2015，19（20）：170-172.
[8]	管少英.无痛分娩对临床初产妇产后出血量、泌乳功能和母婴结局的影响[J].医学理论与实践，2016，29（13）：1768-1770.
[9]	李新红.浅论硬膜外麻醉无痛分娩技术在初产妇分娩中的应用效果[J].当代医药论丛，2017，15（14）：36-37.
[10]	张晓华.探讨无痛分娩用于初产妇的效果及对母婴结局的影响[J].实用妇科内分泌杂志（电子版），2017，4（8）：3-4.
[11]	李彩虹，亢琴仙，陈亚莉.无痛分娩应用于初产妇的临床效果及对母婴结局的影响[J].临床医学研究与实践，2017，2（9）：107-108.
[12]	李智慧，覃宝全，黄凤霞.自由体位配合无痛分娩对初产妇分娩的影响[J].吉林医学，2015，36（17）：3749-3751.
[13]	吴建团.无痛分娩对初产妇应对方式和泌乳功能的影响[J].临床合理用药杂志，2015，8（33）：100-101.
[14]	徐艳红.36例无痛分娩术联合体位管理初产妇产程进展的临床观察[J].河南医学高等专科学校学报，2017，29（3）：224-226.
[15]	卢秀媛.无痛分娩对临床初产妇产后出血量、泌乳功能和母婴结局的影响[J].实用妇科内分泌杂志（电子版），2016，3（17）：182-182.
[16]	徐贵红，徐桂梅.会阴无保护联合无痛分娩在促进初产妇自然分娩中的优势分析[J].新乡医学院学报，2017，34（7）：615-618.