无痛分娩应用于初产妇的临床效果及对母婴结局的影响

李彩虹，亢琴仙，陈亚莉

（陕西省宝鸡市妇幼保健院产科，陕西 宝鸡，721000）

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摘要：

目的 探讨无痛分娩应用于初产妇的临床效果及其对母婴结局的影响。方法 将2015年1月至2015年12月我院收治的500例初产妇分为常规分娩组（n=244）与无痛分娩组（n=256），比较两组产妇的镇痛效果、产程及母婴结局。结果 无痛分娩组的镇痛效果明显优于常规分娩组（P<0.05）；无痛分娩组的第一产程、总产程明显短于常规分娩组（P<0.05），但两组第二产程时间对比差异不具有统计学意义（P>0.05），无痛分娩组改剖宫产率、并发症发生率明显低于常规分娩组（P<0.05）。结论 无痛分娩镇痛效果确切，可缩短产程，母婴结局良好，是初产妇的优选。

关键词：无痛分娩；初产妇；母婴结局

中图分类号：R714.3文献标志码：A文章编号：2096-1413(2017)09-0107-02

Effect of painless labor on primipara and the maternal-infant outcome
LI Cai-hong, KANG Qin-xian, CHEN Ya-li
(Department of Obstetrical, Maternal and Child Care Service Hospital, Baoji 721000, China)

ABSTRACT: Objective To explore the effect of painless labor on primipara and the maternal-infant outcome. Methods Five hundred cases of primiparas admitted in our hospital from January 2015 to December 2015 were divided into routine labor group (n=244) and painless labor group (n=256). The analgesic effect, stage of labor and maternal-infant outcome of the two groups were compared. Results The analgesic effect of the painless labor group was obviously better than that of the routine labor group (P约0.05).The first stage of labor and total stage of labor in painless labor group were shorter than those of the routine labor group (P约0.05), but there was no significant difference in the second stage of labor between two groups（P>0.05）. And the rate of the cesarean section and complication rate of the painless labor group were lower than those of the routine labor group (P <0.05). Conclusion Painless labor has significant labor analgesia, it can shorten the stage of labor and it is safe to the maternal-infant. Therefore, it is an optimization choose for primipara.
KEYWORDS: painless labor; primipara; maternal-infant outcome

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