摘要
目的:探讨经无痛分娩对产妇发热及并发症的影响。方法:选择2021年8月至2021年12月在赣州市南康区第一人民医院行阴道分娩的70例产妇为研究对象,按研究方法的不同分为对照组与观察组,各35例。观察组产妇行无痛分娩,对照组行常规无镇痛分娩,比较两组产妇产后24 h出血量、产后疼痛程度、产程时间、新生儿Apgar评分、中转剖宫产率、发热率、母婴并发症发生情况。结果:观察组产妇总产程、第一产程时间均短于对照组,差异具有统计学意义(P<0.05);两组产妇产后24 h出血量、新生儿Apgar评分比较,差异无统计学意义(P>0.05);观察组产妇产后疼痛程度低于对照组,差异具有统计学意义(Z=3.476,P<0.05);观察组产妇发热率高于对照组,中转剖宫产率与母婴并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论:无痛分娩可缩短阴道分娩产程,减轻患者产后疼痛程度,降低中转剖宫产率与母婴并发症发生率,但会增加产妇发热率,临床需加以重视。
Objective To investigate the effect of painless delivery on maternal fever and complications.Methods A total of 70 pregnant women who underwent vaginal delivery in the First People’s Hospital of Nankang District of Ganzhou City from August 2021 to December 2021 were selected as the research objects.According to different research methods,they were divided into a control group and an observation group,with 35 cases in each group.The observation group was given painless delivery,and the control group was given routine painless delivery.The blood loss,postpartum pain,labor time,neonatal Apgar score,transfer to cesarean section rate,fever rate,maternal and infant complications were compared between the two groups.Results The total time of labor and the first stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the amount of postpartum bleeding and neonatal Apgar score between the two groups(P>0.05).The degree of postpartum pain in the observation group was lower than that in the control group,and the difference was statistically significant(Z=3.476,P<0.05).The maternal fever rate of the observation group was higher than that of the control group,and the rate of conversion to cesarean section and the incidence of maternal and infant complications were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Painless delivery can shorten the duration of vaginal delivery,reduce the degree of postpartum pain,reduce the rate of cesarean section and the incidence of maternal and infant complications,but it will increase the rate of maternal fever,which needs to be paid attention to in clinical practice.
作者
赖红梅
袁明亮
李红艳
LAI Hong-mei;YUAN Ming-liang;LI Hong-yan(The First People's Hospital of Nankang District of Ganzhou City,Jiangxi Ganzhou 341400)
出处
《深圳中西医结合杂志》
2022年第19期22-25,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
赣州市指导性科技计划项目(GZ2021ZSF467)
关键词
阴道分娩
无痛分娩
产妇发热
Vaginal delivery
Painless delivery
Puerperal fever
作者简介
赖红梅,女,主治医师,主要从事妇产科临床工作。