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目的:研究硬膜外分娩镇痛配合积极产程管理对分娩结局的影响。方法:选取2015年1至12月在新疆石河子妇幼保健院住院分娩的172例单胎足月孕妇,其中72例行连续硬膜外分娩镇痛配合积极产程管理(观察组),100例采取常规分娩(对照组)。结果:观察组产妇镇痛后各时间点数字评分法(NRS)评分均较对照组降低,差异有统计学意义(P<0.05),镇痛起效时间(10.5±6.4)min。两组的活跃期及二产程时间、新生儿Apgar评分、出血量均无显著差异(P>0.05);观察组的缩宫素使用率高于对照组(P<0.05),剖宫产率低于对照组(P<0.05)。结论:硬膜外分娩镇痛配合积极产程管理,镇痛效果确切,不延长产程,可降低剖宫产率,对母婴安全。
Objective: To study the effect of epidural analgesia combined with active labor management on delivery outcome. Methods: A total of 172 singletonic full-term pregnant women delivered in Shihezi Maternity and Child Care Hospital of Xinjiang from January to December 2015 were selected. Among them, 72 cases were given continuous epidural analgesia with active labor management (observation group), 100 cases were routine Childbirth (control group). Results: The score of NRS in observation group was lower than that in control group at each time point after analgesia (P <0.05). The onset time of analgesia was (10.5 ± 6.4) min. There was no significant difference in active stage, second stage of labor time, Apgar score and bleeding volume between the two groups (P> 0.05). Oxytocin utilization rate in the observation group was higher than that in the control group (P <0.05) In the control group (P <0.05). Conclusion: Epidural labor analgesia with active labor management, analgesic effect is exact, does not prolong labor process, can reduce the rate of cesarean section, the safety of mother and child.