摘要
目的探讨气囊仿生助产术在硬膜外麻醉镇痛分娩产妇中的应用效果。方法选取本院2017年1～12月收治的5440例有剖宫产指征、妊娠合并症、单胎头位、椎管内麻醉禁忌证,且要求实施自控硬膜外麻醉分娩的产妇作为研究对象,按照随机数字表法分为对照组和观察组,各2720例。两组均进行硬膜外麻醉镇痛分娩,对照组未采用气囊仿生助产,观察组进行气囊仿生助产。比较两组的缩宫素使用情况、产程时间、分娩方式、产后出血等情况。结果观察组的产程时间明显短于对照组,差异有统计学意义(P<0.05)。观察组的产后出血量低于对照组,差异有统计学意义(P<0.05)。观察组的剖宫产率低于对照组,自然分娩率高于对照组,差异有统计学意义(P<0.05)。观察组的缩宫素使用率低于对照组,差异有统计学意义(P<0.05)。结论气囊仿生助产与自控硬膜外麻醉联合分娩能提高阴道分娩率,缩短产程,降低缩宫素使用率、产后出血率及剖宫产率,提高产科质量。
Objective To investigate the application effect of balloon bionic midwifery in epidural anesthesia for analgesia in delivery women.Methods A total of 5440 patients with cesarean section indications,pregnancy complications,single-fetal in head position,contraindications for spinal anesthesia,and the requirement of self-controlled epidural anesthesia were enrolled in our hospital from January to December in 2017.They were divided into the observation group and the control group by a random number table method,with 2720 cases in each group.Both groups underwent epidural anesthesia for analgesia.In the control group,baloon bionic midwifery was not applied,while in the observation group,balloon bionic midwifery was performed.The use of Oxytocin,the time of labor,delivery mode,and postpartum hemorrhage in the two groups were compared.Results The labor time of the observation group was significantly shorter than that of the control group,with a statistical difference(P<0.05).The postpartum hemorrhage of the observation group was less than that of the control group,with significant difference(P<0.05).The cesarean section rate of the observation group was lower,and the natural delivery rate was higher compared with those of the control group,with statistical significance(P<0.05).The use rate of Oxytocin in the observation group was lower than that of the control group,with statistical difference(P<0.05).Conclusion Balloon bionic midwifery combined with self-control epidural anesthesia for delivery can increase the vaginal delivery rate,shorten the labor stages,reduce the use of oxytocin and postpartum hemorrhage,decrease the cesarean section rate and improve the quality of obstetrics.
引文
[1]邹雪梅.气囊仿生助产技术在初产妇自然分娩中的应用[J].护理实践与研究,2016,13(13):52-53.
[2]David G,Jonathan B,Thomas RF,et al.A randomized controlled comparison of epidural analgesia and combined spinal-epidural analgesia in a private practice setting:pain scores during first and second stages of labor and at delivery[J].Anesth Analg,2013,116(3):636-643.
[3]黄六凤,全婷娟,陈美斌.分娩镇痛术与气囊仿生助产技术联合应用的临床疗效[J].华夏医学,2015,28(5):69-71.
[4]陆梦婕.浅论联用气囊仿生助产技术与分娩球为产妇助产的效果[J].当代医药论丛,2016,14(7):88-89.
[5]陈小凤,李金果,喻晓燕,等.气囊仿生助产技术在产科分娩中的临床应用[J].华夏医学,2016,29(5):69-72.
[6]李嘉蔚,饶美兰,周平,等.气囊仿生助产技术应用于瘢痕子宫妊娠阴道分娩的临床价值研究[J].中国医药科学,2017,7(1):32-35.
[7]梁红日.浅析气囊仿生助产技术在初产妇自然分娩中的应用效果[J].当代医药论丛,2017,15(7):65-67.
[8]宋晓毅.气囊仿生助产与自控硬膜外麻醉应用于产科的临床观察[J].临床医学,2016,36(9):98-99.
[9]梁丽碧,吴东兰,何锦卿,等.运用气囊仿生助产术提高瘢痕子宫经阴道分娩成功率的有效性分析[J].中国医药科学,2017,7(12):86-89.
[10]Skret-Magier1o J,Barnas E,Krasnianin E,et al.Colonization with group B streptococcus and ureaplasma urealyticum among parturient women in Poland and Ukraine[J].Int J Gynecol Obstet,2013,120(1):95-96.
[11]杨亚妮,安瑞芳.探讨气囊仿生助产术在产科的临床价值[J].实用妇科内分泌杂志(电子版),2016,3(2):142.
[12]邓军燕,姚楚娟,张慧敏,等.气囊仿生助产术联合自由体位对分娩结局的影响[J].护理实践与研究,2017,14(15):60-62.
[13]韦毅勤.气囊仿生助产促进自然分娩的临床应用探讨[J].中国卫生产业,2014,11(11):318-320.
[14]韦柳红.气囊仿生助产护理在产妇分娩过程中的应用效果[J].临床合理用药杂志,2017,10(3):141-142.
[15]韦壮丽,谭西施,赖璐璐,等.气囊仿生助产联合全产程分娩镇痛对分娩产程及母婴结局的影响[J].浙江临床医学,2017,19(1):52-53.
