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Application effect of labor analgesia in primiparae with natural childbirth |
YANG Yu1 WANG Tao2 |
1.Department of Obstetrics and Gynecology, Jianghan Oilfield General Hospital, Hubei Province, Qianjiang 433124,China;
2.Department of Urology, Jianghan Oilfield General Hospital, Hubei Province, Qianjiang 433124, China |
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Abstract Objective To investigate the application effect of labor analgesia in primiparae with natural childbirth.Methods A retrospective analysis was performed on 102 primiparous women who gave birth naturally in our hospital from January 2018 to July 2019.They were divided into control group (n=51) and observation group (n=51) according to the different ways of delivery intervention.In the control group, non-drug analgesia was used, and in the observation group, non-drug analgesia combined with spinal anesthesia was adopted.The progress of labor, postpartum hemorrhage,pain, Apgar score and pregnancy outcome were compared between the two groups.Results There was no significant difference in the first, second, third, and total labor time between the two groups (P>0.05).The postpartum hemorrhage was (239.84±21.69) ml in the observation group, less than that in the control group for (287.04±22.31) ml.The visual analogue scale (VAS) score was (5.06±0.69) points, lower than that of the control group for (6.79±0.78) points.At 5 minutes, the Apgar score was (8.55±0.54) points, higher than that of the control group for (8.31±0.50) points.At 10 minutes, the Apgar score was (8.95±0.47) points, higher than that of the control group for (8.64±0.43) points, and the differences were statistically significant (P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was 3.92%, lower than that in the control group accounting for 17.65%, with statistical difference (P<0.05).Conclusion Application effect of labor analgesic measures has less effect on the labor stages in primiparous women with natural childbirth, and can reduce postpartum hemorrhage, alleviate postpartum pain, and improve pregnancy outcomes.It is worthy of clinical promotion and application.
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[1] |
刘舸,崔秀红,张玉鑫,等.导乐镇痛仪在自然分娩中的应用效果观察[J].中国急救医学,2018,18(8):1350-1351.
|
[2] |
余昆,陶波,刘春芳.GT-4A 导乐分娩镇痛仪联合心理干预在初产妇中的应用[J].齐鲁护理杂志,2019,25(4):25-27.
|
[3] |
曹莉园,周盛萍,龚云辉,等.分娩镇痛对初产妇产程的影响[J].实用妇产科杂志,2017,33(4):286-291.
|
[4] |
张婷,朱鸣萍.硬膜外麻醉分娩镇痛对初产妇会阴侧切率和产后疼痛的影响[J].中国基层医药,2017,24(2):189-192.
|
[5] |
吴丽珠,张文珍,欧阳彦兰,等.自由体位分娩法联合导乐仪分娩镇痛对产妇心理状况及分娩质量的影响[J].中国妇幼保健,2019,34(13):2952-2954.
|
[6] |
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):290-295.
|
[7] |
唐敏,张海珠.多维分娩镇痛模式对初产妇产程及阴道分娩率的影响[J].护理实践与研究,2018,15(17):53-55.
|
[8] |
李双平,丁亚平,常艳.硬膜外麻醉分娩镇痛对初产妇会阴侧切率及产后疼痛的影响观察[J].中国妇幼保健,2018,33(22):5076-5078.
|
[9] |
刘爱凤,李长忠.不同第二产程时间对自然分娩的单胎足月妊娠初产妇盆底功能的影响[J].中国计划生育和妇产科,2018,10(10):81-84.
|
[10] |
谢星,张丽芳.椎管内分娩镇痛对足月初产妇产程进展及分娩结局的影响[J].现代妇产科进展,2018,27(5):375-380.
|
[11] |
宋阳,高扬,张祎明,等.腰麻差异量盐酸罗哌卡因分娩镇痛与导乐仪镇痛的临床对比研究[J].河北医学,2018,24(12):2086-2090.
|
[12] |
陈炯光,吕蕊,吕小倩.初产妇分娩镇痛中应用小剂量布比卡因复合舒芬太尼腰硬联合麻醉的效果及对新生儿结局的影响[J].解放军预防医学杂志,2019,37(5):83-84.
|
[13] |
张弛,王治,卫建峰,等.罗哌卡因联合舒芬太尼和罗哌卡因联合芬太尼在硬膜外分娩镇痛中的应用及对比研究[J].中国药物与临床,2017,17(3):430-432.
|
[14] |
张炜,李应龙.地佐辛复合低浓度盐酸罗哌卡因硬膜外自控分娩镇痛在无痛分娩中应用效果[J].实用临床医药杂志,2019,23(6):120-122.
|
[15] |
徐雅琴,于漫,徐翠翠,等.罗哌卡因单用或联合舒芬太尼硬膜外给药用于分娩镇痛对比观察[J].中国性科学,2019,28(9):85-88.
|
[16] |
程鸽,辛玲,王伟,等.全程导乐陪伴联合分娩镇痛在足月初产妇经阴道分娩中的运用[J].国际护理学杂志,2019,38(7):953-956.
|
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