硬膜外自控镇痛辅以自由体位对初产妇产程及分娩结局的影响

doi:10.3969/j.issn.1671-7171.2022.04.023

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Abstract 【Objective】To explore the effects of patient-controlled epidural analgesia plus free position on primary maternal labor process and delivery outcomes. 【Methods】A total of 250 primiparous pregnant women who met the requirements in our hospital from January 2020 to December 2020 were selected and divided into the control and the observation groups using the random number table method, with 125 cases in each group. The control group received patient-controlled epidural analgesia + traditional position delivery, wile the observation group received patient-controlled epidural analgesia + free position delivery. The duration of labor, length of hospital stay, 2-hour postpartum hemorrhage, delivery outcome, postpartum pelvic floor function, visual analog scale (VAS) score for delivery pain and condition of lumbar acid were compared between the two groups. 【Results】The duration of labor, VAS score, 2-hour postpartum blood loss, perineal lateral resection rate, cesarean section rate, forceps delivery rate, postpartum bleeding rate in the observation group were lower than those in the control group (P<0.05).There were no differences in the length of hospital stay and incidence of neonatal asphyxia between the two groups (P>0.05). The amount of 2H postpartum haemorrhage in the observation group patients was lower than that in the control group (P<0.05). Patients in the observation group had higher VRP, VSP, fiber strength class Ⅰ, and fiber strength class Ⅱ at 6 weeks postpartum compared to the control group, and the duration of contractions was longer than the control group as well (P<0.05). Patients in the observation group had lower VAS scores at delivery compared to the control group, whereas improvement in lumbar acid was better (P<0.05) . 【Conclusion】Compared with the conventional lying flat position, patient-controlled epidural analgesia with free position delivery can relieve labor pain, shorten labor process, relieve pain, improve delivery outcome,and promote pelvic floor function recovery

Key words： Pregnant Women Parity Posture Analgesia, Obstetrical Analgesia, Patient-Controlled Labor, Obstetric Pregnancy Outcome

Received: 04 December 2021

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R714.3

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	LI Xiao-li
	SHEN Bing-qing

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LI Xiao-li,SHEN Bing-qing. Effect of Patient-controlled Epidural Analgesia with Free Position on Labor Process and Delivery Outcome in Primipara[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(4): 561-564.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.04.023 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I4/561

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