86例硬膜外镇痛对产妇及新生儿的影响研究(1)
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2010年4月15日
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[摘要] 目的:探讨硬膜外镇痛对产妇及新生儿的影响,以为其镇痛方式的选择提供依据。方法:选取2008年11月～2009年12月于本院生产的86例产妇为研究对象,将其设为观察组,对其采用硬膜外镇痛的方式进行镇痛,同时选取86例同期的产妇为对照组,对其采用常规措施进行生产,未采用硬膜外镇痛,后对两组产妇的满意率、VAS评分、泌乳素水平、出血量、各产程时间统计分析,并对新生儿进行1、5 min apgar评分,把结果进行总结分析及比较。结果:经比较发现,观察组产妇满意率、VAS评分均优于对照组,出血量少于对照组,各产程时间短于对照组,经比较P值均<0.05,差异均有统计学意义。而两组产妇泌乳素水平及新生儿进行1、5 min apgar评分比较,差异均无统计学意义,P值均>0.05。结论:在产妇中采用硬膜外分娩镇痛的方式进行镇痛,优点较多,且不影响产妇泌乳素水平,对新生儿也无影响,因此在分娩中较为可取。
[关键词] 硬膜外镇痛;产妇;新生儿;影响
[中图分类号] R714.3 [文献标识码]A [文章编号]1674-4721(2010)04(b)-009-02
The study of influence of epidural analgesia for 86 cases parturients and newborns
WEI Liyun
(Anliu Center Hospital in the Town of Wuhua County, Guangdong Province, Wuhua 514437, China)
[Abstract] Objective: To study the influence of epidural analgesia for 86 cases parturients and newborns,in order to provide evidence for the selection of analgesic methods. Methods: 86 cases parturients in our hospital from November 2008 to December 2009 were selected as observe group, and they were treated with epidural analgesia. 86 cases parturients were selected as control group at the same time, and they were treated with conventional measures. Then summarized and analyzed the satisfaction rate, VAS, level of prolactin, blood loss, time of every labor of the two groups. And the apgar of newborn in 1 and 5 minutes were tested too. Results: After the comparison, the author found that the satisfaction rate and VAS of the observation were better than that of control group, the blood loss was less than that of control group, the time of every labor in observation group were shorter than those of control group, P<0.05, the differenes had statistical significance. But the level of prolactin and the apgar of newborn in 1 and 5 minutes had no differences, P>0.05. Conclusion: The analgesia effect for theparturients who are treated with epidural analgesia is better, and it has no influence to the level of prolactin and newborn, it is worthy of further study and discussion.
[Key words] Epidural analgesia; Parturient; Newborn; Influence
近年来,随着医学技术的发展,多种分娩方式开展起来,其中硬膜外镇痛得到了广大患者的欢迎,但是对于硬膜外镇痛对产妇和新生儿的影响讨论较多,较多人认为其在产生镇痛效果的同时会对产妇及新生儿产生一定的影响,甚至会影响产妇的泌乳素水平[1] ......
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