| 引用本文： |
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倪倩,陶敏芳,周伟伟,等.产妇自控硬膜外分娩镇痛的产科结局临床分析[J].同济大学学报（医学版）,2012,33(3):78-80. [点击复制]
- NI Qian,TAO Min-fang,ZHOU Wei-wei,et al.Obstetric outcomes of patient-controlled epidural labor analgesia[J].同济大学学报（医学版）,2012,33(3):78-80. [点击复制]
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| 摘要: |
| 目的 探讨自控硬膜外分娩镇痛(patient-controlled epidural labor analgesia,PCEA)对产科结局的影。方法 随机选取488例产妇,其中244例采用PCEA分娩镇痛,另外244例常规分娩为对照组,分别对两组在分娩疼痛程度、产程、产后出血、分娩过程中胎儿宫内窘迫发生、新生儿Apgar评分、剖宫产率等方面对照分析。结果 PCEA分娩镇痛组Mulleetr疼痛强度≤2有237例(97.13%),而对照组仅78例(31.97%),两组有显著差异.两组在产程、产后出血、分娩过程中胎儿宫内窘迫发生、新生儿Apgar评分、剖宫产率等方面比较无统计学差异。结论 PCEA分娩镇痛是一种对孕妇高效、安全、对胎儿无不良反应的分娩镇痛方法.PCEA分娩镇痛对产程的延长影响作用很小,并不增加剖宫产率及难产率。 |
| 关键词: 产科结局 自控硬膜外分娩镇痛 剖宫产 |
| DOI：10.3969/j.issn1008-0392.2012.03.018 |
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| 基金项目:上海市卫生局申康医院发展中心课题 |
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| Obstetric outcomes of patient-controlled epidural labor analgesia |
| NI Qian1,TAO Min-fang2,ZHOU Wei-wei1,QIAN Gang3 |
| (1.Dept.of Obstetrics and Gynecology,Central Hospital of Changning District,Shanghai 200336,China;2.Dept.of Obstetrics and Gynecology,Sixth People’s Hospital,Shanghai Jiaotong University,Shanghai 200233,China;3.Dept.of Anesthesiology,Central Hospital of Changning District,Shanghai 200336,China) |
| Abstract: |
| Objective To evaluate the obstetric outcomes in lying-in women with patient-controlled epidural labor analgesia(PCEA).Methods Total 448 primiparae with a full term singleton fetus were randomly divided into patient-controlled epidural labor analgesia group(PCEA group,n=244) and normal labor without analgesia group(control group,n=244).The Mulleetr labor pain grade, stage of labor,flooding,fetal distress rate,newborn Apgar scores and rate of cesarean section were observed and compared in two groups.Results There were 237 parturients in PCEA group(97.13%) and 78 in control group(31.97%)having a Mulleetr labor pain grade≤2(P＜0.01).There were no statistically significant differences in rate of cesarean section,newborn Apgar scores,stage of labor and flooding between two groups.Conclusion Patient-controlled epidural labor analgesia is satisfactory and safe for parturients and infants. |
| Key words: obstetric outcome patient-controlled epidural labor analgesia rate of cesarean section |
