无痛分娩对初产妇产程及妊娠结局的影响探究(1)
【摘要】 目的：探析無痛分娩对初产妇产程进展及妊娠结局的影响。方法：将2019年1-6月笔者所在医院产科接收的705例自愿接受自然分娩的待产初产妇纳入研究，根据是否采取无痛分娩分为观察组(无痛分娩，377例)和对照组(常规分娩，328例)，对比两组产程时间、疼痛度，并比较两组妊娠结局。结果：观察组自然分娩率为93.90%，剖宫产率为4.51%，均优于对照组的82.62%、15.85%，差异均有统计学意义(P<0.05)，两组阴道助产率比较差异无统计学意义(P>0.05);观察组自然分娩孕妇第二产程长于对照组，第一产程短于对照组，差异均有统计学意义(P<0.05)，两组第三产程、总产程比较差异无统计学意义(P>0.05);观察组疼痛度评分低于对照组，差异有统计学意义(P<0.05);观察组胎儿窘迫、新生儿窒息发生率均低于对照组，差异均有统计学意义(P<0.05)。结论：无痛分娩用于初产妇可缩短第一产程，但会延长第二产程，总产程无明显变化，能有效减轻产中疼痛度，提高自然分娩率，且能减少胎儿窘迫、新生儿窒息发生，有着重要临床价值。
【关键词】 无痛分娩 产程 疼痛度 妊娠结局
doi：10.14033/j.cnki.cfmr.2020.26.068 文献标识码 B 文章编号 1674-6805(2020)26-0-03
Study on the Influence of Painless Delivery on Puerpera Labor Process and Pregnancy Outcome/LIU Xifeng. //Chinese and Foreign Medical Research， 2020， 18(26)： -175
[Abstract] Objective： To explore the effect of painless delivery on the progress of primipara and pregnant outcome. Method： A total of 705 primiparas who voluntarily accepted natural delivery received by our obstetrics department from January to June 2019 were included in the observation study. According to whether to take painless delivery， they were divided into the study group (painless delivery， 377 cases) and the control group (normal delivery， 328 cases). The labor duration， pain， and pregnancy outcomes were compared between the two groups. Result： The natural delivery rate and cesarean section rate in the observation group were 93.90% and 4.51%， both of which were better than 82.62% and 15.85% in the control group， the differences were statistically significant (P<0.05)， there was no statistically significant difference in the rate of vaginal delivery between the two groups (P>0.05). The second stage of labor in the observation group was longer than that in the control group， and the first stage was shorter than that in the control group， the differences were statistically significant (P<0.05). There was no statistically significant difference between the third stage and the total stage of labor between the two groups (P>0.05). The pain score of the observation group was lower than that of the control group， the difference was statistically significant (P<0.05). The incidence of fetal distress and neonatal asphyxia in the observation group was lower than that in the conventional group， and the differences were statistically significant (P<0.05). Conclusion： Painless delivery can shorten the first stage of labor， but it can prolong the second stage of labor. There is no significant change in the total stage of labor. It can effectively reduce the pain during labor， improve the natural delivery rate， and reduce the occurrence of fetal distress and neonatal asphyxia. It has important clinical value., 百拇医药(刘希锋)
【关键词】 无痛分娩 产程 疼痛度 妊娠结局
doi：10.14033/j.cnki.cfmr.2020.26.068 文献标识码 B 文章编号 1674-6805(2020)26-0-03
Study on the Influence of Painless Delivery on Puerpera Labor Process and Pregnancy Outcome/LIU Xifeng. //Chinese and Foreign Medical Research， 2020， 18(26)： -175
[Abstract] Objective： To explore the effect of painless delivery on the progress of primipara and pregnant outcome. Method： A total of 705 primiparas who voluntarily accepted natural delivery received by our obstetrics department from January to June 2019 were included in the observation study. According to whether to take painless delivery， they were divided into the study group (painless delivery， 377 cases) and the control group (normal delivery， 328 cases). The labor duration， pain， and pregnancy outcomes were compared between the two groups. Result： The natural delivery rate and cesarean section rate in the observation group were 93.90% and 4.51%， both of which were better than 82.62% and 15.85% in the control group， the differences were statistically significant (P<0.05)， there was no statistically significant difference in the rate of vaginal delivery between the two groups (P>0.05). The second stage of labor in the observation group was longer than that in the control group， and the first stage was shorter than that in the control group， the differences were statistically significant (P<0.05). There was no statistically significant difference between the third stage and the total stage of labor between the two groups (P>0.05). The pain score of the observation group was lower than that of the control group， the difference was statistically significant (P<0.05). The incidence of fetal distress and neonatal asphyxia in the observation group was lower than that in the conventional group， and the differences were statistically significant (P<0.05). Conclusion： Painless delivery can shorten the first stage of labor， but it can prolong the second stage of labor. There is no significant change in the total stage of labor. It can effectively reduce the pain during labor， improve the natural delivery rate， and reduce the occurrence of fetal distress and neonatal asphyxia. It has important clinical value., 百拇医药(刘希锋)