摘要
Abstract
Objective: To investigate the continuous epidural anesthesia in pregnant women in labor analgesia and its influence on pregnancy outcome,to better carry out the epidural labor analgesia provides the basis.Method:A total of 600 cases of maternal were randomly divided into two groups,300 cases in each group. The analgesia group was given continuous epidural labor analgesia,the control group were treated with conventional delivery processing.The analgesic effect,labor time,oxytocin use,mode of delivery,maternal adverse reactions and neonatal conditions of the two groups were observed and recorded.Result:The analgesic effect of the analgesia group was significantly better than the control group,the difference was statistically significant(P<0.05).The active phase,second stage and total labor of the analgesia group were longer than the control group,the differences were statistically significant(P<0.05),the third labor time gap was not statistical significance(P>0.05). Oxytocin use rate of the analgesic group was significantly higher than the control group,the difference was statistically significant(P<0.05),the incidence of urinary retention in the analgesia group was higher than the control group,the difference was statistically significant(P<0.05).Two groups of maternal postpartum bleeding in comparison,the difference was not statistically significant(P>0.05).The cesarean section rate,neonatal asphyxia rate and fetal distress rate of the analgesia group were lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Continuous epidural anesthesia in pregnant women in labor analgesia can relieve the pain of labor, reduce the neonatal asphyxia rate and improving birth outcomes of pregnant women,but prolonged labor,resulting in the risk of urinary retention.关键词
硬膜外麻醉/分娩镇痛/产痛/产程/分娩结局Key words
Epidural anesthesia/Labor analgesia/Labor pain/Labor process/Delivery outcome