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目的对比镇痛分娩与无镇痛分娩试产成功率并分析失败原因。方法选取50例镇痛(腰麻联合硬膜外麻醉)分娩产妇作为镇痛组,同时选取50例无镇痛分娩产妇作为无镇痛组。对比两组产妇试产分娩成功率,根据相关资料分析失败原因。结果镇痛组产妇试产成功率为94.00%,高于无镇痛组的80.00%,差异有统计学意义(P<0.05)。镇痛组33例(66.00%)产妇使用了不等量催产素,高于无镇痛组的16例(32.00%),差异有统计学意义(P<0.05)。镇痛组试产失败原因为1例活跃期停滞、1例胎儿窘迫、1例产程延长,占6.00%;无镇痛组试产失败原因为1例活跃期停滞、5例胎方位异常、2例胎儿窘迫、2例产程延长,占20.00%。两组失败原因占比比较差异有统计学意义(P<0.05)。镇痛组试产失败剖宫产后新生儿Apgar评分优于无镇痛组,差异有统计学意义(t=10.83,P<0.05)。结论镇痛分娩缓解产妇疼痛的同时有助于减少胎儿窘迫、产程延长、活跃期停滞等发生,有效提高了阴道分娩的成功率,值得在临床上推广使用。
Objective To compare the success rate of trial delivery between analgesic delivery and non-analgesic delivery and analyze the causes of failure. Methods 50 cases of analgesia (spinal anesthesia combined with epidural anesthesia) childbirth as analgesia group, while 50 cases without labor analgesia childbirth as analgesia group. The success rate of trial delivery in two groups was compared, and the failure reason was analyzed according to the relevant data. Results The success rate of trial production in the analgesic group was 94.00%, which was higher than that in the non-analgesic group (80.00%), the difference was statistically significant (P <0.05). 33 cases (66.00%) in analgesia group used different amounts of oxytocin, which was higher than that in 16 cases without analgesia group (32.00%), the difference was statistically significant (P <0.05). The cause of trial failure in the analgesic group was one case of active stagnation, one case of fetal distress, and one case of prolonged labor, accounting for 6.00%. The causes of failure in the trial without analgesia were one case of active stagnation, five cases of abnormal fetal position, Cases of fetal distress, 2 cases of labor to extend, accounting for 20.00%. There were significant differences in the causes of failure between the two groups (P <0.05). Apgar scores of neonates after cesarean section failed in analgesia group were better than those without analgesia group (t = 10.83, P <0.05). Conclusions Analgesia delivery relieves maternal pain and helps to reduce the incidence of fetal distress, prolonged labor and stagnation of active phase, which effectively increases the success rate of vaginal delivery and is worth popularizing in clinic.