可行走硬膜外自控镇痛对分娩结局的影响

目的 探讨可行走自控硬膜外分娩镇痛对产妇及新生儿的影响.方法 选择符合入选条件的初产妇120例,随机分为2组,其中实施可行走硬膜外自控分娩镇痛(A组)60例,常规措施助产(C组)60例.比较2组的分娩方式、产程、产钳使用率、剖宫产率、产后出血量、胎儿宫内窘迫发生率及新生儿Apgar评分等的差异.结果 2组活跃期及第二产程A组＞C组(P＜0.05),剖宫产率A组低于C组(P＜0.05),产钳使用率和胎儿宫内窘迫发生率及新生儿Apgar评分、产后出血量2组差异无统计学意义(P＞0.05).结论 可行走硬膜外自控分娩镇痛用于初产妇虽然延长产程,却是安全、有效、舒适的分娩镇痛方式.

The effect of ambulatory patient controlled epidural analgesia on the outcome of delivery

Objective To investigate the effect of ambulatory patient controlled epidural analgesia(PCEA)on parturients and the neonate.Methods 120 uniparous parturients were enrolled in the trial.60 parturientsin ambulatory PCEA group(group A)received ambulatory PCEA for labor,and 60 parturients in control group(group C)received routine labor analgesia.The differences between two groups including delivery mode,labor stage,rates of using clamps and caesarean birth,postpartum hemorrhage,incidence of fetal distress and Apgar score of the neonate were observed and compared.Results The duration of active phase and the time of second labor stage in group A were significantly longer than those of group C(P<0.05).The rate of caesarean birth in group A was lower than that in group C(P<0.05).There were no significantdifferences in the rate of using clamps,incidence of fetal distress,Apgar score of neonate and postpartum hemorrhage between two groups(P>0.05).Conclusion Although ambulatory PCEA used in labor analgesia for uniparous parturients may delay the labor period,which is a safe,effective and comfortable labor analgesia mode.