潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇分娩结局及新生儿预后的影响

目的 分析潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇分娩结局及新生儿预后的影响。方法 选取本院自2016年12月~2018年12月收治的120例产妇作为研究对象，以随机数字表法分为对照组和研究组，各60例。对照组活跃期行椎管内阻滞麻醉，研究组潜伏期行椎管内阻滞麻醉，比较产程、VAS评分、阴道自然分娩率、新生儿窒息率。结果 研究组第一、第二产程时间为（8.12±0.62）h、（1.01±0.25）h，分别短于对照组的（9.95±1.02）h、（1.48±0.31）h，差异有统计学意义（P＜0.05），研究组镇痛5 min、30 min、60 min后VAS评分分别是（5.58±0.62）分、（3.25±0.31）分、（0.86±0.12）分，低于对照组的（5.31±0.41）分、（3.98±0.41）分、（1.16±0.18）分，差异有统计学意义（P＜0.05）。研究组阴道分娩率（86.67%）高于对照组（66.67%），新生儿窒息率（3.33%）低于对照组（20.00%），差异均有统计学意义（P＜0.05）。结论 潜伏期行椎管内阻滞麻醉进行分娩镇痛，可有效提高阴道自然分娩率，降低新生儿结局，效果显著，值得借鉴。

Effect of Analgesia during Labor in the Incubation Period on the Outcome ofDelivery and Prognosis of Pregnant Women

Abstract:Objective To analyze the effects of analgesia during labor anesthesia on the outcome of delivery and the prognosis of neonates. Methods A total of 120 women who were admitted to our hospital from December 2016 to December 2018 were enrolled in the study. They were divided into a control group and a study group by random number table, 60 cases each. In the active control group, spinal anesthesia was performed during the active period. The study group underwent spinal anesthesia for the latent period. The labor, VAS score, natural vaginal delivery rate, and neonatal asphyxia rate were compared. Results The first and second labor periods of the study group were (8.12±0.62) h and (1.01±0.25) h, which were shorter than the control group (9.95±1.02) h and (1.48±0.31) h, respectively,the difference was statistically significant (P<0.05), the VAS scores of the study group were (5.58±0.62), (3.25±0.31), and (0.86±0.12) after 5 min, 30 min, and 60 min, respectively, which was lower than that of the control group (5.31±0.41) points, (3.98±0.41) points, (1.16±0.18) points, the difference was statistically significant (P<0.05). The vaginal delivery rate of the study group (86.67%) was higher than that of the control group (66.67%), and the neonatal asphyxia rate (3.33%) was lower than that of the control group (20.00%),the difference was statistically significant (P<0.05).Conclusion The anesthesia of the spinal canal block during the incubation period can effectively improve the natural delivery rate of the vagina and reduce the outcome of the newborn. The effect is significant and worth learning.