两种不同时机硬膜外分娩镇痛对初产妇产程、母婴结局的影响比较

张慧泉1 ，陈姗姗2

（陕西省商洛市镇安县人民医院：1.妇产科；2.体检中心，陕西 商洛，711500）

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摘要：

目的 探究初产妇采用两种不同时机硬膜外分娩镇痛方法对产妇产程和母婴结局的影响。方法 将100 例初产妇根据 镇痛时机分成潜伏期组（50例）和活跃期组（50例），分别在第一产程潜伏期和活跃期进行硬膜外分娩镇痛，对比两组分娩结局。结果 分娩结束时，两组胎方位为枕前位占比高于枕后位、枕横位（P<0.05）。潜伏期组宫颈口扩张速度高于活跃期组（P<0.05）。接镇痛泵10、40 min，两组疼痛评分均降低，且潜伏期组在接镇痛泵后10、40 min 评分低于活跃期组（P<0.05）。潜伏期组剖宫 产占比低于活跃期组（P<0.05）。结论 对产妇进行潜伏期分娩镇痛有明显镇痛效果，增加产妇顺产率，降低难产率。

关键词：硬膜外分娩镇痛；产妇产程；母婴结局

中图分类号：R714.3文献标志码：A文章编号：2096-1413(2017)28-0128-02

Effects comparison of two different time of epidural analgesia on maternal labor and mother-infant outcomes
ZHANG Hui-quan 1, CHEN Shan-shan 2
(1. Department of Obstetrics; 2. Physical Examination Center, People``s Hospital of Zhen``an County, Shangluo 711500, China)

ABSTRACT: Objective To explore the Effect of two different timing of epidural analgesia on maternal labor, maternal and child outcomes. Methods One hundred cases of primipara were randomly divided into latency group (50 cases) and active group (50 cases) according to analgesia time, which were given epidural analgesia in the first stages of incubation period and active period respectively. The delivery outcomes were co mpared. Results At the end of delivery, the ratio of anterior positiom was higher than that of pillovo posterior position and transverse position in the two groups (P<0.05). The speed of cervix dilation in the latency group was higher than that in the active group (P<0.05). At 10, 40 min after access to analgesia pump, the pain scores of the two groups significantly decreased and those of the latency group were lower than the active group (P<0.05). The incidence of cesarean section in the latency group was lower than that in the active group (P<0.05). Conclusion The maternal latency of analgesia has obvious analgesic effect, which can increase maternal birth
rate and reduce the rate of dystocia.
KEYWORDS: epidural labor analgesia; maternal labor; mother-infant outcomes

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