摘要
目的探讨对妊娠高血压综合征患者分别给予全产程分娩镇痛以及第一产程分娩镇痛干预后获得的临床效果。方法选择该院2017年7月—2019年5月收治的86例妊娠高血压综合征患者作为实验对象;数字奇偶法分组后探究每组拟定的镇痛方式;比照组(43例):拟定第一产程分娩镇痛方案展开;实验组(43例):拟定全产程分娩镇痛方案展开;最终就不同时间点疼痛评分结果、新生儿脐带动脉血血气分析结果、产程、新生儿Apgar评分结果、新生儿体重展开对比。结果实验组Apgar评分情况为:1 min(8.90±0.93)分、5 min(9.01±1.02)分以及10 min(9.73±0.31)分;比照组Apgar评分情况为:1 min(8.82±1.02)分、5min(8.95±1.01)分以及10 min(9.72±0.23)分;在第二产程用力屏气时以及胎头娩出时间段,实验组妊娠高血压综合征疼痛评分结果低于比照组,差异有统计学意义(t=16.782、11.859,P<0.05);在其他时间点,实验组评分结果同比照组比较差异无统计学意义(t=0.799、0.286、0.120,P>0.05);实验组妊娠高血压综合征患者新生儿脐带动脉血血气分析结果同比照组比较差异无统计学意义(t=0.336、0.441、0.098、0.090,P>0.05);实验组妊娠高血压综合征患者第一产程短于比照组明显,第二、三产程同比照组比较差异无统计学意义(t=8.996、0.173、0.471,P>0.05);实验组妊娠高血压综合征患者不同时间点Apgar评分结果以及新生儿体重同比照组比较差异无统计学意义(t=0.380、0.274、0.170、0.090,P>0.05)。结论妊娠高血压综合征患者于临床接受全产程分娩镇痛后,同第一产程分娩镇痛结果比较,可以使得第二产程用力屏气时以及胎头娩出时间段疼痛程度获得显著缓解,可以将第一产程显著缩短,并且可对新生儿安全做出保证,最终对于妊娠高血压综合征患者综合状态的改善,奠定基础。
Objective To investigate the clinical effects of postpartum labor analgesia and first labor analgesia intervention in patients with pregnancy-induced hypertension.Methods Eighty-six patients with pregnancy-induced hypertension syndrome admitted to the hospital from July 2017 to May 2019 were selected as subjects.The digital parity method was used to investigate the proposed anal-gesic pattern of each group.The comparison group(43 cases):the first stage of labor analgesia program was launched;the experimen-tal group(43 cases):the development of the whole labor analgesia program;the final results of pain scores at different time points,neonatal umbilical cord blood gas analysis results,labor,neonatal Apgar score results newborn weights are compared.Results The Apgar scores of the experimental group were:1 min(8.90±0.93)points,5 min(9.01±1.02)points and 10 min(9.73±0.31)points.The Apgar score of the comparison group was:1 min(8.82±1.02)points,5 min(8.95±1.01)points and 10 min(9.72±0.23)points;in the second stage of labor force and when the fetal head was delivered,the pain score of the pregnancy-induced hypertension syndrome in the experimental group was significantly lower than that in the control group,the difference was statistically significant(t=16.782,11.859,P<0.05);At other time points,the experimental group scores were not significantly different from the comparison group(t=0.799,0.286,0.120,P>0.05);the experimental group of patients with pregnancy-induced hypertension syndrome umbilical cord arterial blood gas.The results of the analysis were not significantly different from the comparison group(t=0.336,0.441,0.098,0.090,P>0.05).The first stage of labor in the experimental group with pregnancy-induced hypertension syndrome was shorter than that in the comparison group,and the second and third stage of labor were compared.The difference was not obvious(t=8.996,0.173,0.471,P>0.05).The Apgar scores of the patients with pregnancy-induced hypertension syndrome and the weight of the newborns were not significantly different(t=0.380,0.274,0.170,0.090,P>0.05).Conclusion Patients with pregnancy-induced hypertension syndrome have significantly relieved the pain level during the second stage of labor and the time of delivery of the fetal head after the clinical analgesia of the whole labor process.The first stage of labor is significantly shortened,and the safety of newborns can be guaranteed,and finally the foundation for the improvement of the comprehensive state of patients with pregnancy-induced hypertension syndrome.
作者
罗静
LUO Jing(Department of Obstetrics,First People's Hospital of Kunming,Yunnan Province,650000 China)
出处
《世界复合医学》
2020年第1期64-66,70,共4页
World Journal of Complex Medicine
关键词
全产程分娩镇痛
第一产程分娩镇痛
妊娠高血压综合征
产程
Full labor analgesia
First labor analgesia
Pregnancy-induced hypertension syndrome
Labor course
作者简介
罗静(1974-),女,湖南新昭人,本科,副主任医师,主要从事产科临床诊疗工作。
