硬膜外麻醉镇痛分娩对母婴影响探讨

目的：探讨硬膜外麻醉镇痛分娩对母婴的影响。方法将2009年1月至2013年11月入院分娩的产妇分为两组，观察组138例为接受镇痛分娩的产妇，对照组147例为不使用任何镇痛药物的产妇。分别观察比较两组产妇的分娩时间、分娩方式、产后出血量、新生儿窒息、胎儿窘迫情况。结果观察组产妇的分娩时间长于对照组，差异有统计学意义（P＜0.05）；观察组产妇视觉模拟评分为（3.4±1.3）分，对照组为（7.9±1.6）分，两组比较，差异有统计学意义（P＜0.05）。两组产妇分娩方式、产后出血量以及新生儿窒息、胎儿窘迫发生情况比较，差异均无统计学意义（P＞0.05）。结论分娩中应用硬膜外麻醉镇痛技术能够延长分娩时间、减轻疼痛，可在临床上大力推广应用。

Influence of epidural anesthesia labor on mothers and infants

Objective To discuss the effects of epidural analgesia labor on mothers and infants. Methods The puerperae, who were hospitalized from January 2009 to November 2013,were divided into two groups：the observation group（n=138） accepted analgesia delivery,and the control group（n=147） were without any analgesic drugs. The delivery time,delivery mode,postpar-tum haemorrhage,neonatal asphyxia and fetal distress in the two groups were observed respectively. Results The delivery time of the observation group was shorter than that of the control group with statistically significant difference （P〈0.05）;the difference on the visual analogue scale（VAS） score between the observation group（3.4±1.3） and the control group（7.9±1.6） had statistical signifi-cance（P〈0.05）. There were no statistically significant differences between the two groups on delivery mode,postpartum haemor-rhage,neonatal asphyxia,fetal distress and so on（P〉0.05）. Conclusion Epidural analgesia can shorten delivery time and allevi-ate pain with high security,so it can be promoted and popularized clinically.