医学临床研究
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医学临床研究  2024, Vol. 41 Issue (2): 168-170    DOI: 10.3969/j.issn.1671-7171.2024.02.003
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不同时机硬膜外分娩镇痛对高龄产妇产程、分娩方式及母婴结局的影响*
杨平鸽1, 王慧侠1, 魏晓磊2**
1.西安安琪儿妇产医院麻醉科,陕西 西安 710004;
2.西安未央德雅正尚口腔门诊部麻醉科,陕西 西安 710000
The Effect of Epidural Analgesia at Different Times on the Delivery Process, Delivery Mode, and Maternal and Infant Outcomes in Elderly Parturients
YANG Pingge, WANG Huixia, WEI Xiaolei
Department of Anesthesiology, Angel Maternity Hospital,Xi'an Shaanxi 710004
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摘要 【目的】探讨不同时机硬膜外分娩镇痛对高龄产妇产程、分娩方式及母婴结局的影响。【方法】两院接收的114例待产高龄产妇,随机分为A组和B组,每组57例。A组在产妇宫口开1 cm时(潜伏期)镇痛,B组在宫口开3 cm时(活跃期)镇痛,两组均在宫口开至8 cm时停止给药。比较两组高龄产妇各产程经历的时间,宫口开1 cm(T1)、3 cm(T2)、8 cm(T3)、分娩时(T4)、娩出后(T5)的视觉模拟(VAS)评分与产妇心率、平均动脉压;比较两组产妇的分娩方式、母婴结局和新生儿1 min、5 min Apgar评分。【结果】A组产妇的第一产程与总产程时间短于B组(P<0.05);两组高龄产妇的第二、三产程时间比较,差异均无统计学意义(P>0.05)。A组高龄产妇T2的VAS评分低于B组(P<0.05);两组高龄产妇T1、T3、T4、T5时的VAS评分、心率和平均动脉压比较,差异均无统计学意义(P>0.05)。两组高龄产妇分娩方式、母婴结局以及新生儿1 min、5 min Apgar评分比较,差异均无统计学意义(P>0.05)。【结论】在潜伏期与活跃期对高龄产妇进行硬膜外分娩镇痛,镇痛效果均确切,但在潜伏期进行分娩镇痛可以缩短产程时间,加快分娩,缓解产妇第一产程疼痛感。
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杨平鸽
王慧侠
魏晓磊
关键词 镇痛,产科镇痛,硬膜外分娩妊娠结局    
Abstract:【Objective】To explore the effects of epidural analgesia at different times on the delivery process, delivery mode, and maternal and infant outcomes in elderly women.【Methods】A total of 114 elderly expectant mothers who were admitted to the two hospitals were randomly divided into Group A and Group B, with 57 cases in each group. Group A received pain relief during the latent period when the mother's cervix was 1 cm open, while Group B received pain relief during the active period when the cervix was 3 cm open. Both groups stopped administering medication when the cervix was opened to 8 cm. We compared the time of each stage of labor experienced by two groups of elderly parturients, including the visual analogue (VAS) scores at 1 cm (T1), 3 cm (T2), 8 cm (T3), during delivery (T4), and after delivery (T5), as well as the heart rate and mean arterial pressure of the parturients; We also compared the delivery methods, maternal and infant outcomes, and newborn 1-minute and 5-minute Apgar scores between two groups of parturients.【Results】The first and total stages of labor in Group A were shorter than those in Group B (P<0.05); There was no statistically significant difference in the second and third stages of labor between the two groups of elderly mothers (P>0.05). The VAS score of T2 in elderly parturients in Group A was lower than that in Group B (P<0.05); There was no statistically significant difference in VAS score, heart rate, and mean arterial pressure between the two groups of elderly parturients at T1, T3, T4, and T5 (P>0.05). There was no statistically significant difference (P>0.05) between the delivery methods, maternal and infant outcomes, and 1-minute and 5-minute Apgar scores of the two groups of elderly mothers. 【Conclusion】The analgesic effects of epidural labor analgesia on elderly parturients during the incubation period and active period are both definite. However, labor analgesia during the incubation period can shorten the duration of labor, accelerate delivery speed, and alleviate the first stage of labor pain in parturients.
Key wordsAnalgesia, Obstetrical    Analgesia, Epidural    Parturition    Pregnancy Outcome
收稿日期: 2023-04-05     
中图分类号:  R614  
基金资助:*西安市火炬计划项目(HJ200348)
通讯作者: **E-mail:weixl0517@163.com   
引用本文:   
杨平鸽, 王慧侠, 魏晓磊. 不同时机硬膜外分娩镇痛对高龄产妇产程、分娩方式及母婴结局的影响*[J]. 医学临床研究, 2024, 41(2): 168-170.
YANG Pingge, WANG Huixia, WEI Xiaolei. The Effect of Epidural Analgesia at Different Times on the Delivery Process, Delivery Mode, and Maternal and Infant Outcomes in Elderly Parturients. JOURNAL OF CLINICAL RESEARCH, 2024, 41(2): 168-170.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.02.003     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I2/168
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