硬膜外阻滞麻醉分娩镇痛配合Doula式分娩及连续胎心监护的临床分析

目的:观察硬膜外腔阻滞麻醉分娩镇痛配合Doula式分娩及连续胎心监护的临床效果及对产科质量的影响。方法:将低浓度罗哌卡因和小剂量含芬太尼的混合液注入硬膜外腔。配合Doula式分娩及连续胎心监护,用于76例没有产科并发症及麻醉禁忌症进入活跃期的初产妇作为观察组,将单纯采用Doula式分娩的89例相同条件的初产妇作为对照组,比较两组的镇痛效果及其对产科质量的影响。结果:两组镇痛效果有极显著性差异(P<0.01),催产素使用有显著性差异(P<0.05),产程时间、分娩方式、产后出血量、胎儿窘迫、胎心监护异常发生率及新生儿窒息发生率无显著性差异(P>0.05)。结论:硬膜外腔阻滞麻醉用于分娩镇痛,效果可靠,对母婴无不良影响,配合Doula式分娩及连续胎心监护,安全有效。

Clinical anylasis of epidural anesthesia combined with doula delivery and continuous fetal rate monitoring

Objective: To investigate clinical effect and influence on obstetric quantity of epidural anesthesia combined with Doula delivery and continuous fetal rate monitoring. Methods: 76 cases without any obstetric complications and anesthetic contraindications were performed epidural anesthesia combined with Doula delivery and continuous fetal rate monitoring during the active phase of labor (study group).89 cases with same condition were performed Doula delivery (control group) . The effect of analgesia and the influence on obstetric quantity were compared between two groups. Results: The difference was significant in the pain relief and oxytoxin usage between the study group and the control group. The difference was not significant in the time of labor course, delivery mode, postpartum hemorrhage, fetal distress, abnormity of fetal rate monitoring and neonatal asphyxia. Conclusion: Epidural anesthesia combined with Doula delivery and continuous fetal rate monitoring is a safe and effective analgesic method of modern delivery.