镇痛技术联合全程陪伴对分娩结局的影响

目的探讨镇痛技术联合全程陪伴分娩对产妇及新生儿的影响。方法随机抽取要求分娩镇痛的产妇80例作为观察组,分娩全程陪伴,在宫口开大3 cm时给予硬膜外麻醉,注入芬太尼和罗哌卡因。以同期未加干预自然分娩的产妇80例作为对照组,比较两组产妇分娩结局、产程时间和产后出血量,胎儿宫内窘迫及新生儿情况。结果观察组较对照组剖宫产率显著降低,阴道分娩率显著提高,缩宫素使用率显著提高,差异有显著性（χ2=2.893~16.911,P〈0.01）。观察组总产程时间显著短于对照组,差异有显著意义（t=4.327,P〈0.01）。两组产后出血量、胎儿宫内窘迫及新生儿窒息发生率差异无显著性（P〉0.05）。结论硬膜外镇痛技术联合全程陪伴分娩能缩短产程,降低剖宫产率。

THE EFFECT OF PAIN RELIEF AND WHOLE-LABOR-PROCESS ACCOMPANY ON CHILDBIRTH

Objective To assess the effect of pain-relieving technique and whole-labor-process accompany on lying-in women and neonates. Methods Observation group, 80 lying-in women requiring pain relief were recruited in random and accompany offered. An epidural anaesthesia with fentanyl and ropivacaine started when the cervical os dilated up to 3 cm in diameter. Those, 80 cases, undergoing spontaneous delivery served as control. The outcome, birth process, postpartum hemorrhage, fetal distress in uterus, and neonate＇s situation were compared between the two groups. Results The cesarean section rate was much lower, vaginal delivery rate was much higher and the oxytocin was more in observation group, the difference was significant （X^2= 2. 893-16. 911,P〈0.01）. The total stage of labor was shorter than the control （t=4.327,P〈0.01）. No significant difference was noted between the two groups in terms of flooding and neonate＇s situation. Conclusion Combination of epidural pain relief and whole accompany can shorten birth process, reduce cesarean section, increase the use of oxytocin.