论文部分内容阅读
目的观察产妇无痛分娩时静滴微量催产素的临床疗效,为产妇无痛分娩麻醉并发症的临床防治提供科学依据。方法收集我院2010年12月~2011年12月适合自然分娩的产妇84例,84例产妇分为三组:自然分娩组(A,n=28)、无痛分娩组(B,n=28)和无痛分娩+静滴催产素组(C,n=28)。统计分析三组的临床镇痛效果和分娩结局。结果A组和C组的第一、二产程、顺产率和新生儿Apgar评分显著高于B组(P<0.05),上述指标在A组和C组之间则无统计学差异(P>0.05)。A组和C组的剖宫产、阴道助产、斯生儿窒息率显著低于B组(P<0.05),A组和C组之间则无统计学差异(P>0.05)。A、B和C组的镇痛有效率分别为17.9%、96.4%和92.9%,B和C组显著优于A组(P<0.01),B、C组织之间则无显著性差异(P>0.05)。结论产妇无痛分娩时静滴微量催产素拮抗硬膜外阻滞所引起的分娩时第一、二产程的延长,降低剖宫产、阴道助产和新生儿窒息的发生率,值得临床推广应用。
Objective To observe the clinical efficacy of intravenous injection of trace oxytocin during painless childbirth and provide a scientific basis for the clinical prevention and treatment of the complications of painless labor. Methods Eighty-four cases of spontaneous labor were collected from December 2010 to December 2011 in our hospital. Eighty-four mothers were divided into three groups: spontaneous delivery group (A, n = 28) and painless childbirth group (B, n = 28) ) And painless delivery + intravenous oxytocin (C, n = 28). Statistical analysis of three groups of clinical analgesia and delivery outcomes. Results The first, second part of labor, birth rate and neonatal Apgar score of group A and group C were significantly higher than those of group B (P <0.05). There was no significant difference between group A and group C (P> 0.05 ). The rates of cesarean section, vaginal delivery and asphyxia in group A and group C were significantly lower than those in group B (P <0.05). There was no significant difference between group A and C (P> 0.05). The analgesic efficacies in groups A, B and C were 17.9%, 96.4% and 92.9%, respectively, which were significantly better in group B and C than those in group A (P <0.01), while there was no significant difference between group B and C (P > 0.05). Conclusion Maternal painless delivery intravenous trace oxytocin antagonistic epidural block caused by labor during the first and second stage of labor to extend and reduce the incidence of cesarean section, vaginal delivery and neonatal asphyxia, it is worthy of clinical application .