摘要
目的:硬膜外分娩镇痛管理对分娩阵痛质量及泌乳功能的影响。方法:选取河北省衡水市妇幼保健院2020年12月至2022年12月产科分娩的120例初产妇作为研究对象,根据产妇及其家属的主观意愿将其分为镇痛组(n=64)与对照组(n=56),镇痛组产妇采用硬膜外神经阻滞麻醉方式实施无痛分娩,对照组拒绝采取无痛分娩措施,记录两组产妇产程时间、新生儿Apgar评分、初次泌乳时间及血清催乳素(PRL)水平的差异。结果:镇痛组第一、二产程时间短于对照组,镇痛组产妇宫口开3~4 cm至胎儿娩出的各个节段的VAS评分均低于对照组,镇痛组的初次泌乳时间早于对照组,镇痛组在分娩后24 h、48 h、72 h的血清PRL水平高于对照组,2组新生儿1min Apgar评分、5minApgar比较,差异无统计学意义(P>0.05)。结论:膜外分娩镇痛方式在初产妇中的应用可显著减轻分娩引起的疼痛应激反应,促进产妇早期泌乳,同时对新生儿无不良影响。
Objective:To investigate the effects of epidural analgesic management on labor pain quality and lactation function.Methods:A total of 120 primipara who gave birth in obstetrics and gynecology from December 2020 to December 2022 in Hengshui Maternal and Child Health Hospital of Hebei Province were selected as the research objects.According to the subjective wishes of the primipara and their families,they were divided into analgesic group(n=64)and control group(n=56).The analgesic group was given epidural nerve block anesthesia for painless delivery.The control group refused to take painless labor measures.The differences of labor time,neonatal Apgar score.first lactation time and serum prolactin(PRL)level between the two groups were recorded.Results:The first and second stages of labor in the analgesic group were shorter than those in the control group.The VAS scores of each segment from the opening of uterine opening 3~4 cm to fetal delivery in the analgesic group were lower than those in the control group.The time of initial lactation in the analgesic group was earlier than that in the control group.There was no significant difference in lmin Apgar score and 5minApgar score between 2 groups(P>0.05).Conclusion;The application of EPidural analgesia in parturient women can significantly reduce the pain stress response caused by labor,promote early lactation in parturient women,and have no adverse effects on neonates.
作者
刘敏
张红
崔允巍
LIU Min;ZHANG Hong;CUI Yunwei(Operating Room of Hengshui Maternal and Child Health Hospital,Hengshui City,Hebei Province,053000)
出处
《生命科学仪器》
2023年第3期117-119,共3页
Life Science Instruments
基金
河北省医学研究课题编号:20221504
关键词
硬膜外分娩镇痛
无痛分娩
初产妇
应激反应
泌乳功能
epidural labor analgesia
Painless delivery
Primipara
Stress response
Lactation function
作者简介
第一作者及通讯作者:刘敏(1980年4月)女,汉族,籍贯:河北衡水,本科,副主任医师,研究方向:妇产科,邮箱:hssongqi@126.com.
