无痛分娩对分娩方式及母婴结局的影响

樊璐璐，余晓英

（中航工业西安医院妇产科，陕西 西安，710077）

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摘要：

目的 探讨无痛分娩对分娩方式及母婴结局的影响。方法 将我院2015 年1 月至2015 年12 月未开展无痛分娩接受自 然分娩的73 例产妇作为对照组，选择2016 年1 月至2016 年12 月开展无痛分娩后收治的75 例产妇作为观察组。比较两组 产妇的治疗满意度、剖宫产率和新生儿窒息率及产妇疼痛分级情况。结果观察组患者的剖宫产率为33.3%，明显低于对照组 的56.2%（P<0.05）；但两组新生儿窒息率比较，差异不显著（P>0.05）；观察组产妇的疼痛分级总有效率为93.3%，明显高于对 照组的78.1%（P<0.05）；观察组患者的治疗满意度为97.3%，略高于对照组的90.4%（P>0.05）。结论 在产妇分娩过程中利用 无痛分娩技术，可以有效降低产妇的剖宫产率、新生儿窒息率及产妇疼痛等级，具有较好的临床效果，值得临床推广应用。

关键词：无痛分娩；剖宫产；新生儿窒息

中图分类号：R714.3文献标志码：A文章编号：2096-1413(2017)32-0138-02

Effect of painless labor on delivery modes and pregnancy outcome
FAN Lu-lu , YU Xiao-ying
(Department of Obstetrics and Gynecology, Xi``an Hospital of Aviation Industry Corporation of China, Xi``an 710077, China)

ABSTRACT: Objective To analyze the effect of painless labor on delivery modes and pregnancy outcome. Methods From January 2015 to December 2015, 73 cases of puerpera accepted natural childbirth before conducting epidural were selected as the control group; from January 2016 to December 2016, 75 cases of puerpera accepted painless labor were selected as the observation group. The treatment satisfaction, cesarean section rates, neonatal asphyxia rates and maternal pain levels were compared between the two groups. Results The cesarean section rate of the observation group was 33.3%, which was lower than 56.2% of the control group (P<0.05); but there was no significant difference in neonatal asphyxia rate between the two groups (P>0.05). The maternal pain level total effective rate of the observation group was 93.3%, which was higher than 78.1% of the control group (P<0.05). The treatment santisfaction rate in the observation group was 97.3%, which was slighely higher than 90.4% in the control group (P>0.05). Conclusion In the process of puerpera childbirth, using painless labor technology can reduce the cesarean section rate, neonatal asphyxia rate and maternal pain level. It has remarkable clinical effect, which is worthy of promotion and application in clinic.
KEYWORDS: painless labor; cesarean section; neonatal asphyxia

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