低位水囊引产联合硬膜外分娩镇痛在产妇中的应用观察
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(兴化市人民医院,江苏 兴化 225700)

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翟翰芳,女,主治医师,主要从事妇科肿瘤工作。

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R 714.3

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Observation on the Application of Low-Position Water Sac Inducing Labor Combined with Epidural Labor Analgesia in Parturients
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(Xinghua People's Hospital, Jiangsu Xinghua 225700)

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    摘要:

    〔摘 要〕 目的:探究低位水囊引产联合硬膜外分娩镇痛在产妇中的应用效果。方法:选取 2020 年 1 月至 2020 年 12 月 期间于兴化市人民医院分娩的 135 例初产妇,根据分娩干预方式的不同,分为对照组 85 例和观察组 50 例。对照组采用硬 膜外分娩镇痛,观察组采用低位水囊引产联合硬膜外分娩镇痛,比较两组产妇的产程时长、产后 24 h 出血量、中转剖宫产率、 新生儿结局、并发症发生率。结果:观察组产妇的第一产程和总产程时间短于对照组,差异具有统计学意义(P < 0.05)。 两组产妇的第二产程、第三产程时间及后 24 h 出血量比较,差异无统计学意义(P > 0.05);观察组产妇的中转剖宫产率为 4.0 %(2/50),低于对照组的 10.6 %(9/85),差异具有统计学意义(P < 0.05);两组新生儿出生 1 min、5 min 的 Apgar 评分及新生儿体质量比较,差异无统计学意义(P > 0.05);两组产妇的并发症发生率比较,差异无统计学意义(P > 0.05)。 结论:低位水囊引产联合硬膜外分娩镇痛在产妇中的应用效果确切,能够缓解产妇的疼痛、在缩短产程的同时提高阴道分 娩率,是一种安全的方法,且不影响母婴结局。

    Abstract:

    〔Abstract〕 Objective To explore and analyze the effect of low-position water sac induced labor combined with epidural labor analgesia in parturients. Methods 135 primiparas who gave birth from January 2020 to December 2020 in Xinghua People's Hospital were selected. According to the different Methods of delivery intervention, they were divided into 85 cases in the control group and 50 cases in the observation group. The control group was delivered with epidural analgesia, and the observation group was delivered with low-position water sac combined with epidural analgesia. The two groups were compared with the mothers’ labor duration, 24 hours postpartum bleeding, transition to cesarean section rate, neonatal outcome and complication rate. Results The first stage of labor and total labor time of the observation group were shorter than those of the control group, and the difference was statistically significant (P < 0.05). There was no statistically significant difference in the time of the second stage of labor, the third stage of labor, and the amount of bleeding after 24 hours between the two groups (P > 0.05); the transition rate of cesarean section in the observation group was 4.0% (2/50), which was low compared with 10.6% (9/85) of the control group, the difference was statistically significant (P < 0.05); the comparison of Apgar scores and newborn weights of newborns at 1 and 5 minutes of birth between the two groups was not statistically significant (P > 0.05); There was no statistically significant difference in the incidence of complications between the two groups of parturients (P > 0.05). Conclusion The application of low-position water sac induction combined with epidural analgesia in parturient women has a definite effect. It can relieve the pain of the parturient and improve the vaginal delivery rate while shortening the labor. It is a safe method and does not affect the outcome of the mother and baby. It has high clinical application value.

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  • 收稿日期:2021-06-25
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  • 在线发布日期: 2021-12-06
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