發(fā)布時(shí)間：2018-03-04 10:08

  本文選題：會(huì)陰雙側(cè)阻滯麻醉　切入點(diǎn)：分娩結(jié)局　出處：《北方藥學(xué)》2016年11期 　論文類型：期刊論文

【摘要】：目的:探討會(huì)陰雙側(cè)阻滯麻醉對(duì)分娩結(jié)局的影響。方法:選取2014年5月~2016年5月在醫(yī)院住院分娩的90例初產(chǎn)婦作為此次研究對(duì)象,隨機(jī)分為觀察組與對(duì)照組,每組45例,對(duì)照組進(jìn)行常規(guī)自然分娩,觀察組進(jìn)行會(huì)陰雙側(cè)阻滯麻醉后分娩,分析比較兩組產(chǎn)婦疼痛程度、產(chǎn)程和各項(xiàng)指標(biāo)及分娩結(jié)局。結(jié)果:觀察組疼痛程度明顯低于對(duì)照組,兩組之間差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05);兩組產(chǎn)程和出血量差異不明顯,無統(tǒng)計(jì)學(xué)意義(P0.05);觀察組VAS評(píng)分和心率情況明顯好于對(duì)照組,兩組之間差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組會(huì)陰裂傷率和產(chǎn)褥感染率均明顯低于對(duì)照組,組間差異具有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組新生兒窒息發(fā)生率明顯低于對(duì)照組,兩組之間差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組的側(cè)切率(6.67%)明顯低于對(duì)照組(17.78%),組間差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:初產(chǎn)婦進(jìn)行會(huì)陰雙側(cè)阻滯麻醉后,疼痛明顯減輕,提高了分娩成功率。
[Abstract]:Objective: to investigate the effect of bilateral perineal block anesthesia on the outcome of labor. Methods: 90 primiparas who were hospitalized in hospital from May 2014 to May 2016 were selected as the study objects, and were randomly divided into observation group and control group with 45 cases in each group. The normal natural delivery was performed in the control group, and the pain degree, labor process, labor indexes and delivery outcome in the observation group were compared with those in the control group after bilateral perineal block anesthesia. Results: the pain degree of the observation group was significantly lower than that of the control group. There was significant difference between the two groups (P 0.05), there was no significant difference in birth process and blood loss between the two groups (P 0.05). The VAS score and heart rate in the observation group were significantly better than those in the control group, and the difference between the two groups was significant. The rate of perineum laceration and puerperal infection rate in the observation group were significantly lower than those in the control group, and the difference between the two groups was statistically significant (P 0.05), the incidence of neonatal asphyxia in the observation group was significantly lower than that in the control group, and the difference between the two groups was significant. The side cut rate of the observation group was significantly lower than that of the control group (P 0.05), and the difference between the two groups was statistically significant (P 0.05). Conclusion: the pain of parturient after bilateral perineum block was obviously alleviated and the success rate of delivery was improved.
【作者單位】： 蘇州市吳江區(qū)中醫(yī)醫(yī)院蘇州市吳江區(qū)第二人民醫(yī)院;
【分類號(hào)】：R714.3

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