中国妇幼健康研究2012，Vol.23Issue(4)：484-486,3.DOI:10.3969/j.issn.1673-5293.2012.04.029
无痛分娩148例临床分析
Clinical analysis of 148 cases of painless labor
郑燕 1任玲玲 1张明明 1陈香 1王兆杰 1杨利娟1
作者信息
- 1. 中国兵器工业五二一医院,陕西,西安,710065
- 折叠
摘要
Abstract
Objective To evaluate the influence of combined spinal-epidural analgesia ( CSEA ) on labor, delivery mode, incidence of postpartum hemorrhage and incidence of neonatal asphyxia in analgesic delivery. Methods Among primiparae with full term singleton fetus, 148 cases received CSEA with low concentration of bupivacaine, ropivacaine mesylate and fentanyl, who were compared with 115 cases at same period not using analgesic drugs. Then the analgesic effect and the influence on the progress of labor, delivery mode, incidence of postpartum hemorrhage and newborn asphyxia were observed. Results In labor analgesia group, the effective rate was 99. 32% , and there was statistical difference in total stage of labor between labor analgesia group ( 493. 74 ?150. 88 min ) and control group ( 381. 42 ?134. 97 min ) ( t = -5. 256, P <0. 01 ). The analgesia in delivery could prolong the first stage of labor( t = -4. 572, P < 0. 01 ). The cesarean section rate in labor analgesia group and control group was 14. 86% and 36. 52% , respectively, and the difference was statistically significant x2=16. 484, P <0. 01 ). And the incidence of postpartum hemorrhage ( 0. 68% in labor analgesia group and 0. 87% in control group ) and newborn asphyxia ( 1. 35% in labor analgesia group and 0. 87% in control group ) was not significantly different ( both x2= 0. 000, both P >0. 05 ). Conclusion The effect of CSEA for labor analgesia is reliable, and the rate of cesarean section can be significantly reduced. Although the drugs prolong labor, it is not longer than normal labor, and there is no significant influence on the incidence of postpartum hemorrhage and newborn asphyxia.关键词
分娩/镇痛/麻醉/腰硬联合Key words
labor/analgesia/anesthesia/combined spinal-epidural analgesia ( CSEA )分类
医药卫生引用本文复制引用
郑燕,任玲玲,张明明,陈香,王兆杰,杨利娟..无痛分娩148例临床分析[J].中国妇幼健康研究,2012,23(4):484-486,3.
