无痛分娩产妇认知障碍发生现状及其影响因素分析

doi:10.3969/j.issn.1671-7171.2023.02.018

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Abstract 【Objective】To study the current situation and influencing factors of cognitive impairment in painless delivery. 【Methods】From July 2019 to March 2020,185 parturients who had painless delivery in Yan'an People's Hospital were included as the research subjects. A retrospective analysis was carried out. The incidence of cognitive impairment in painless delivery women was statistically analyzed. General data such as maternal education level,analgesia mode and labor process were collected. The independent risk factors of cognitive impairment in painless delivery women were analyzed by multivariate logistic regression analysis. 【Results】Among the 185 painless delivery,32 cases had postpartum cognitive impairment,accounting for 17.30%; 153 cases had no cognitive impairment,accounting for 82.70%. Multivariate logistic regression analysis showed that analgesia(OR=1.422,95%CI=1.857～1.978),neonatal transfer(OR=3.267,95%CI=1.473～1.588),prenatal Pittsburgh sleep quality index (PSQI)(OR=1.472,95%CI=1.176～1.385),visual analogue scale (VAS) score at uterine dilation 3 cm(OR=1.525,95%CI=1.252～1.402),and the VAS at uterine dilation 10 cm(OR=1.643,95%CI=1.511～1.671) were independent factor of cognitive impairment in painless delivery. 【Conclusion】Methods of analgesia,transfer of neonate,PSQI score before delivery,3 cm VAS scores and 10 cm VAS score of uterine dilation are the influencing factors of cognitive impairment in painless delivery,while effective analgesia can reduce the risk of cognitive impairment after delivery.

Key words： Analgesia, Obstetrical Cognition Disorders Root Cause Analysis

Received: 06 December 2022

PACS:

R714.3

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	LI Xia
	LI Jun-liang
	ZHAO Jing

Cite this article:

LI Xia,LI Jun-liang,ZHAO Jing. Study on the Current Situation and Influencing Factors of Cognitive Impairment in Painless Delivery[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(2): 223-225.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.02.018 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I2/223

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