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目的观察妊娠高血压疾病分娩镇痛的疗效。方法回顾性分析我院2009年10月—2012年12月收治的妊娠合并高血压疾病孕产妇103例,按照自愿原则分为镇痛组56例和无镇痛组47例,镇痛组产妇在分娩时给予椎管内麻醉进行镇痛,观察阴道分娩率、产程、产后出血、胎儿情况等,并与无镇痛组孕妇比较。结果镇痛组孕妇阴道分娩率高于无痛组,平均产程少于无痛组,产后出血率和胎儿窘迫发生率低于无痛组,差异有统计学意义(P<0.05)。结论对妊娠高血压疾病的孕妇行分娩镇痛可以提高阴道分娩率,缩短产程,降低产后出血及胎儿窘迫发生的风险,取得了满意的疗效,值得临床推广。
Objective To observe the effect of labor analgesia on pregnancy-induced hypertension. Methods A retrospective analysis of our hospital in October 2009 -2012 in December admitted pregnant women with hypertension complicated by pregnancy in 103 cases, according to the principle of voluntarism were divided into analgesic group 56 cases and no analgesic group 47 cases of analgesic group Analgesia was given intranasal anesthesia during childbirth, vaginal delivery rate, labor course, postpartum hemorrhage and fetus were observed, and compared with those without analgesia. Results The rate of vaginal delivery in the analgesic group was higher than that in the painless group. The average labor duration was less than that of the painless group. The incidence of postpartum hemorrhage rate and fetal distress was lower than that of the painless group. The difference was statistically significant (P <0.05). Conclusion Labor analgesia for pregnant women with hypertensive disorder complicating pregnancy can increase the vaginal delivery rate, shorten the labor process, reduce the risk of postpartum hemorrhage and fetal distress, and achieve satisfactory curative effect. It is worthy of clinical promotion.