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规范化分娩镇痛在分娩中的临床应用
引用本文:江江,张丽芬,董旭东,吴婕.规范化分娩镇痛在分娩中的临床应用[J].中国妇幼保健,2011,26(24):3811-3813.
作者姓名:江江  张丽芬  董旭东  吴婕
作者单位:昆明医学院附属昆华医院产科,云南省第一人民医院产科,云南,昆明,650032
摘    要:目的:通过对产程中的镇痛效果及对母婴结局影响的观察,探讨分娩镇痛的必要性。方法:选择接受分娩镇痛的100例产妇为试验组,未接受分娩镇痛的100例为对照组。采用视觉模拟疼痛评分(VAS)评价两组活跃期和第二产程的疼痛感受及两组的产程、分娩方式、新生儿窒息、产后出血、尿潴留的发生情况。结果:试验组活跃期和第二产程的VAS与对照组相比明显低,差异有统计学意义(P<0.05);试验组与对照组相比无产程延长、新生儿窒息等(P>0.05);产后出血、产后尿潴留的发生率差异无统计学意义(P>0.05);试验组的顺产率提高,剖宫产率下降,两组相比差异均有统计学意义(P<0.05)。结论:分娩镇痛能有效减轻分娩疼痛,安全有效,对产程、母婴结局无不良影响,且能有效地降低剖宫产率。

关 键 词:分娩镇痛  母婴结局  剖宫产率

Clinical application of standardized labor analgesia in delivery
JIANG Jiang,ZHANG Li-Fen,DONG Xu-Dong et al.Clinical application of standardized labor analgesia in delivery[J].Maternal and Child Health Care of China,2011,26(24):3811-3813.
Authors:JIANG Jiang  ZHANG Li-Fen  DONG Xu-Dong
Institution:JIANG Jiang,ZHANG Li-Fen,DONG Xu-Dong et al.Department of Obstetrics,Kunhua Hospital Affiliated to Kunming Medical College,the First People's Hospital of Yunnan,Kunming 650032,Yunnan,China
Abstract:Objective:To explore the necessity of labor analgesia by observing the analgesic effect during labor and its effect on the outcomes of mothers and infants. Methods:100 lying-in women receiving labor analgesia were selected as experimental group,and 100 lying-in women not receiving labor analgesia were selected as control group.Visual Analogue Scale(VAS) was used to evaluate the painful grades during activate period and the second stage of labor;stages of labor,delivery modes,the incidences of neonatal asphy...
Keywords:Labor analgesia  Outcomes of mothers and infants  Rate of cesarean section  
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