| 引用本文： |
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车荣华,李爱红,张文琴,等.全产程应用自控硬膜外分娩镇痛对产程及分娩的影响[J].同济大学学报（医学版）,2010,31(6):68-71. [点击复制]
- CHE Rong-hua,LI Ai-hong,ZHANG Wen-qin,et al.Effects of patient-controlled epidural analgesia on the labor progress and outcome during the birth process[J].同济大学学报（医学版）,2010,31(6):68-71. [点击复制]
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| 摘要: |
| 目的探讨在全产程应用自控硬膜外分娩镇痛对产程、分娩及母儿的影响。方法选择足月单胎正常临产,无妊娠合并症,无椎管内麻醉禁忌证的初产妇100例。分为两组：A组（50例）：潜伏期组,宫口扩张1～2.5 cm;B组（50例）：活跃期组,宫口扩张3～5 cm。实施产妇自控硬膜外分娩镇痛。另选同期未施行分娩镇痛的50例初产妇为对照组（C组）。观察3组产妇的产程时间、分娩方式、产后出血、胎儿窘迫、新生儿Apgar评分以及催产素使用情况。结果 （1）产程时间及催产素使用情况比较,虽A组催产素使用率比C组增多,但A组的潜伏期、活跃期与C组相比时间缩短,差异有统计学意义（P〈0.05）,A组和B组比较,差异无统计学意义（P〉0.05）;3组的第二产程、第三产程比较,差异均无统计学意义（P〉0.05）。（2）分娩方式比较,A组及B组阴道分娩率高于C组,差异有统计学意义（P〈0.05）;3组阴道助产率比较,差异无统计学意义（P〉0.05）;A组及B组剖宫产率低于C组,差异有统计学意义（P〈0.05）。（3）产后出血、胎儿窘迫、新生儿Apgar评分比较,3组差异无统计学意义（P〉0.05）。结论全产程实施产妇自控硬膜外分娩镇痛,可缩短第一产程潜伏期和活跃期,对第二产程和第三产程无影响,有利于阴道分娩,对母婴是安全的。 |
| 关键词: 自控硬膜外镇痛 潜伏期 全产程 |
| DOI：10.3969/j. issnl008 - 0392.2010.06.016 |
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| 基金项目: |
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| Effects of patient-controlled epidural analgesia on the labor progress and outcome during the birth process |
| CHE Rong-hua,LI Ai-hong,ZHANG Wen-qin,JIANG Min-hua,HU Guo-min |
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| Abstract: |
| Objective To study the influence of patient-controlled epidural analgesia（PCEA） during the total stage on the labor progress and outcome.Methods PCEA was given to one hundred in-labor primipara of singleton pregnancy with vertex delivery,without any contra-indication and epidural analgesia prohibition,which were randomly divided into group A（latent stage group,cervical dilated from 1 cm to 2.5 cm,n =50）,and group B（active stage group,cervical dilated from 3 cm to 5 cm, n=50）.There were 50 non-given analgesia primipara as control group（group C） during the same period.The duration of labor,the delivery mode,the postpartum hemorrhage,the fetal distress,the neonatal Apgar score and the rate of oxytocin usage among three groups were observed respectively. Results（1） The duration of labor and the rate of oxytocin usage：Although the rate of oxytocin usage was higher in group A than in group C,the latent stage and active stage of group A were shorter than those in group C（P0.05）.However,no statistic difference was found between group A and group B（P0.05）.The second stage and the third stage had no statistic difference among three groups（P0.05）.（2） The delivery mode：The rate of vaginal delivery in group A and group B was higher than in group C（P0.05）,and there was no statistic significance in the rate of instrumental delivery among three groups（P0.05）.Compared with group C.the cesarean section rate in group A and group B were decreased（P0.05）.（3） The postpartum hemorrhage,the fetal distress,the neonatal Apgar score had no statistic significance among three groups（P0.05）.Conclusion PCEA during the total stage can shorten the latent stage and active stage,it does not influent the second stage and the third stage.It is beneficial for vaginal delivery.There is no dangerous for both mother and neonate. |
| Key words: patient-controlled epidural analgesia latent stage total stage |
