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梁金凤,梁燕嫦,邓惠玲,陈彦霞,曾丽容.全程助产联合硬膜外自控镇痛在分娩镇痛中的应用研究[J].中国医药科学,2020,(1):120-122        基金项目:广东省中山市医学科研项目(2019A020299)
全程助产联合硬膜外自控镇痛在分娩镇痛中的应用研究
Research on application of whole-course midwifery combined with epidural patient-controlled analgesia in labor analgesia
  
DOI:
中文关键词:  全程助产;硬膜外自控镇痛;联合治疗;分娩镇痛
英文关键词:Whole-course midwifery; Patient-controlled epidural analgesia; Combined treatment; Labor analgesia
作者单位
梁金凤,梁燕嫦,邓惠玲,陈彦霞,曾丽容 广东省中山市博爱医院产科,广东中山 528400 
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中文摘要:
      [摘要] 目的 观察全程助产联合硬膜外自控镇痛在分娩镇痛中的应用。 方法 本研究选取 2018 年 3 月~ 2019年 3 月在我院分娩的产妇 200 例作为此次研究对象。根据产妇是否选择无痛分娩进行分组,其中对照组产妇实施全程助产,观察组实施全程助产联合硬膜外自控镇痛。观察两组镇痛效果、分娩方式、产程时间、新生儿评分,会阴侧切率,麻醉副反应及产妇分娩满意度。 结果 观察组与对照组镇痛效果Ⅰ级率为(62.20% & 28.77%),Ⅱ级率为(36.22% & 17.81%), Ⅲ级率为(1.57% & 43.84%),Ⅳ级率为(0 & 9.59%),观察组总产程时间明显少于对照组而观察组阴道分娩率高于对照组,观察组新生儿评分高于对照组,观察组产妇与对照组产妇会阴侧切率为(5.51% & 24.66%),满意率为(100.00% & 90.41%),差异有统计学意义(P < 0.05)。 结论 在产妇分娩中,采取全程助产联合硬膜外自控镇痛,可获得较好的镇痛效果,缩短产程,减少产妇会阴侧切率,提高产妇的满意率,效果理想。
英文摘要:
      [Abstract] Objective To observe and analyze the application of whole-course midwifery combined with epidural patient-controlled analgesia in labor analgesia. Methods 200 parturient women who delivered in our hospital from March 2018 to March 2019 were selected as the research objects. They were divided into two groups according to whether they chose painless delivery. The control group was given whole-course midwifery while the observation group was given whole-course midwifery combined with epidural patient-controlled analgesia. The analgesic effect, mode of delivery, duration of labor, neonatal score, episiotomy rate, side effects of anesthesia and maternal satisfaction with delivery were observed. Results The grade I, grade II, grade III and grade IV analgesic effect rate of the observation group and the control group were respectively (62.20%-17.81%), (36.22%-28.77%), (1.57%-43.84%) and (0-9.59%). The total duration of labor in the observation group was significantly shorter than that in the control group, while the vaginal delivery rate in the observation group was higher than that in the control group. The neonatal score in the observation group was higher than that in the control group. Episiotomy rates and satisfaction rates of parturient women in the observation group and the control group were respectively (5.51% & 24.66%) and (100.00% & 90.41%). The difference was statistically significant (P < 0.05). Conclusion In the delivery of parturient women, wholecourse midwifery combined with epidural patient-controlled analgesia can achieve better analgesic effect, shorten the labor process, reduce episiotomy rateand improve the satisfaction rate of parturient women.The effect is ideal.
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