硬膜外镇痛联合相关健康教育在自然分娩中的应用价值

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• 英文论文题名：The value of epidural analgesia combined with related health education in natural childbirth
• 论文作者：张群
• 英文论文作者：Zhang Qun
• 年：2017
• 作者机构：四川绵阳四0四医院;
• 论文关键词：硬膜外镇痛 ; 健康教育 ; 自然分娩 ; 产程 ; 满意度
• 英文论文关键词：epidural analgesia ; health education ; natural childbirth ; The process of childbirth ; satisfaction
• 会议召开时间：2017-05-26
• 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
• 语种：中文
• 分类号：R473.71
• 学会代码：ZHXB
• 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
• 会议地点：中国湖北武汉
• 主办单位：《中国组织化学与细胞化学杂志》社有限公司
• 学会名称：《中国组织化学与细胞化学杂志》社有限公司
• 页数：2
• 文件大小：265k
• 原文格式：O
• 会议级别：全国

摘要

目的:探讨硬膜外镇痛联合相关健康教育在自然分娩中的应用价值。方法:选取符合自然分娩条件的初产妇260例,无麻醉禁忌症及产科合并症,随机分为观察组与对照组。接受硬膜外镇痛和相关健康教育的130例作为观察组。观察组硬膜外镇痛联合相关健康教育;对照组130例予以传统的产程观察和处理。比较两组产妇的疼痛情况、第一产程活跃期时间、第二产程时间、缩宫素使用情况、分娩结局、新生儿Apgar评分、产妇满意度等指标。结果:观察组视觉模拟评分(VAS)0-5分有127例;第一产程活跃期时间(4.9±0.7)h,第二产程时间(88±16)min;缩宫素使用30例,使用率23.8%。分娩结局:自然分娩率89.2%,阴道助产率2.3%,剖宫产率8.5%;新生儿Apgar评分(9.5±0.3)分;产妇满意度95%。对照组VAS评分0-5分有20例;第一产程活跃期时间(5.8±0.7)h,第二产程时间(87±18)min;缩宫素使用20例,使用率15.4%;分娩结局:自然分娩率72.3%,阴道助产率2.3%,剖宫产率25.4%;新生儿却gar评分(9.5±0.4);产妇满意度80%。结论:硬膜外镇痛联合相关健康教育能有效降低分娩疼痛,缩短第一产程活跃期时间,不会延长第二产程,缩宫素的使用稍有增加,对新生儿无影响,能降低剖宫产率,促进自然分娩,提高产妇的满意度。
Objective:To explore the value of epidural analgesia combined with related health education in natural childbirth.Methods:260 primiparous women were divided into the observation group and the control group without any anesthesia contraindication and obstetric complications according to the natural delivery conditions.130 patients received epidural analgesia and related health education as observation group.Epidural analgesia combined with related health education in the observation group;the control group to the traditional observation and treatment of labor.The pain of the two groups were compared,the first stage of labor,the second stage of labor,the use of oxytocin,childbirth outcome,neonatal Apgar score,maternal satisfaction and other indicators.Results:The VAS score was 127 in the observation group.The active period of the first stage of labor was(4.9 ± 0.7) h and the second stage of labor was 88 ± 16 min.30 cases,the utilization rate of 23.8%.Childbirth outcome;spontaneous delivery rate of 89.2%,vaginal delivery rate of 2.3%,cesarean section rate of 8.5%;neonatal Apgar score(9.5 ± 0.3);maternal satisfaction 95%.In the control group,there were 20 cases of VAS score of 0-5,the first stage of labor was(5.8 ± 0.7) h and the second stage of labor was(87 ± 18) min;The rate of delivery was 15.4%.The rate of spontaneous delivery was 72.3%,the rate of vaginal delivery was 2.3%,the rate of cesarean section was 25.4%,the neonatal Apgar score was 9.5 ± 0.4 and the maternal satisfaction was 80%.Conclusion:Epidural analgesia combined with related health education can effectively reduce the labor pain,shorten the active stage of the first stage of labor time,will not extend the second stage of labor,oxytocin use increased slightly,no effect on neonates,Uterine birth rate,to promote natural childbirth,improve maternal satisfaction.

引文

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