医学信息2024，Vol.37Issue(24)：44-47,4.DOI:10.3969/j.issn.1006-1959.2024.24.012
硬膜外分娩镇痛在初产妇分娩中的镇痛效果及对患者妊娠结局的影响
Analgesic Effect of Epidural Labor Analgesia in Primipara Delivery and its Effect on Pregnancy Outcome
摘要
Abstract
Objective To study the analgesic effect of epidural labor analgesia in primipara delivery and its effect on pregnancy outcome.Methods From January 2022 to Qctober 2023,72 primiparas received in the Department of Obstetrics and Gynecology of Zixi County People's Hospital were selected as the research objects.They were divided into control group and study group by random number table method,with 36 primiparas in each group.The control group was given conventional vaginal delivery,and the study group was given epidural labor analgesia on the basis of the control group.The labor process,postpartum hemorrhage,postpartum urination(urinary retention,dysuria),maternal negative emotions[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],analgesic effect[Visual Analogue Scale(VAS)of each labor process],pregnancy outcome(maternal natural birth rate,incidence of fetal distress and neonatal asphyxia,neonatal Apgar score)were compared between the two groups.Results The labor process of the study group was shorter than that of the control group,and the amount of postpartum hemorrhage was less than that of the control group(P<0.05).The total incidence of urinary retention and dysuria in the study group was lower than that in the control group(P<0.05).The SAS and SDS scores of the two groups after delivery were higher than those before delivery,but the SAS and SDS scores of the study group after delivery were lower than those of the control group(P<0.05).The VAS score of each stage of labor in the study group was lower than that in the control group(P<0.05).The natural birth rate and neonatal Apgar score of the study group were higher than those of the control group(P<0.05).Conclusion Epidural labor analgesia has a good analgesic effect in the delivery of primiparas,which can shorten the labor process,reduce postpartum hemorrhage and urination disorders,relieve maternal negative emotions,reduce labor pain,and improve pregnancy outcomes.关键词
初产妇/硬膜外分娩镇痛/产程/妊娠结局/负面情绪/排尿情况Key words
Primiparas/Epidural labor analgesia/Laborprocess/Pregnancy outcome/Negative emotions/Urination situation分类
医药卫生引用本文复制引用
雷英,龚卫萍,艾亚云..硬膜外分娩镇痛在初产妇分娩中的镇痛效果及对患者妊娠结局的影响[J].医学信息,2024,37(24):44-47,4.基金项目
抚州市社会发展指导性科技计划项目(编号:抚科社字[2023]7号第86项) （编号:抚科社字[2023]7号第86项）
