镇痛分娩对减少剖宫产的临床分析

高艳丽1 ，宫卓2

（1.陕西省康复医院，陕西 西安，710065；2.榆林市第一医院妇产科，陕西 榆林，719000）

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摘要：

目的 探讨镇痛分娩对减少剖宫产的临床效果。方法 选取我院收治的产妇268例，对其临床资料进行回顾性分析。其中，134例产妇进行正常分娩，将其设定为对照组；134例产妇采取镇痛分娩，将其设定为观察组。比较两组产妇的分娩结局。结果 对照组产妇的剖宫产率为32.09%，明显高于观察组的8.21%（P<0.05）。观察组第一产程、第三产程及总产程均短于对照组（P<0.05）。两组产妇产后出血量及新生儿Apgar评分比较，差异无统计学意义（P>0.05）。结论 镇痛分娩对减少剖宫产的临床效果显著，值得在临床推广应用。

关键词：镇痛分娩；剖宫产；Apgar 评分

中图分类号：R714.3文献标志码：A文章编号：2096-1413(2017)14-0172-02

Clinical analysis of analgesia delivery in reducing cesarean section
GAO Yan-li 1, GONG Zhuo 2
(1. Shaanxi Kangfu Hospital, Xi`an 710065; 2. Department of Obstetrics and Gynecology,


Yulin First Hospital, Yulin 719000, China)

ABSTRACT: Objective To investigate the clinical effect of analgesia delivery in reducing cesarean section. Methods A total of 268 parturient women admitted in our hospital were selected as the study objects, and the clinical data of the parturient women were retrospectively analyzed. One hundred and thirty-four parturient women who had normal delivery were selected as the control group, and 134 parturient women who received analgesia delivery were selected as the observation group. The delivery outcomes of the two groups were compared. Results In the control group, the cesarean section rate was 32.09%, which was higher than 8.21% of the observation group (P<0.05). The first stage of labor, the third stage of labor and total labor time of the observation group were shorter than those of the control group (P<0.05). There was no significant difference on postpartum hemorrhage and the neonatal Apgar score of the two groups (P>0.05). Conclusion The clinical effect of analgesia delivery in reducing cesarean section is significant, which is worthy of clinical application and popularization.

KEYWORDS: analgesia delivery; cesarean section; Apgar score

参考文献：
[1] 马琳,普玲玉,王琴,等.镇痛分娩降低剖宫产的临床分析[J].中外医疗,2016,35(1):120-121.
[2] 朱淑平,李惠明,黄绍芳,等.镇痛分娩对分娩结局影响的探讨[J].江西医药,2014,49(8):727-729.
[3] 王毅,吴一军,谢妮,等.硬腰联合麻醉镇痛分娩对母婴结局的影响[J].中国医药导报,2014,11(29):43-46.
[4] 曾华北,高伟.镇痛分娩与剖宫产对母婴围产期并发症的比较分析[J].中外健康文摘,2014,9(25):278-279.
[5] 庄小岸,黄惠婷,郑丽绚,等.剖宫产后再次妊娠镇痛分娩过程中配合体位护理[J].牡丹江医学院学报,2014,35(3):122-124.
[6] 王文凯,叶露.活跃期后镇痛分娩过程中改行剖宫产的原因分析[J].齐齐哈尔医学院学报,2015,33(2):187.
[7] 侯书梅,任翠玲,张明军,等.产钳在镇痛分娩转剖宫产麻醉欠佳中的应用[J].长治医学院学报,2015,29(2):125-127.