| 刘少星,代月娥,曹德均,吴沁娟,谢先丰.不同可行走式分娩镇痛方法对分娩结局及胎儿血氧饱和度的影响[J].,2019,19(2):334-337 |
| 不同可行走式分娩镇痛方法对分娩结局及胎儿血氧饱和度的影响 |
| Effect of Different Methods of Ambulatory Labor Analgesia on Delivery Outcome and Fetal Oxygen Saturation |
| 投稿时间：2018-05-26 修订日期：2018-06-21 |
| DOI：10.13241/j.cnki.pmb.2019.02.029 |
| 中文关键词: 分娩镇痛 可行走式 分娩结局 血氧饱和度 罗哌卡因 氢吗啡酮 舒芬太尼 |
| 英文关键词: Labor analgesia Ambulatory Delivery outcome Fetal oxygen saturation Ropivacaine Hydrogen morphine Sufentanil |
| 基金项目:四川省医学会科研基金项目（S16004） |
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| 中文摘要: |
| 摘要 目的：探讨不同可行走式分娩镇痛方法对产妇分娩结局及胎儿血氧饱和度（FSaO2）的影响。方法：选取2017年1月至2018年2月期间于成都市第二人民医院妇产科住院分娩的123例初产孕妇作为研究对象，分为罗哌卡因结合氢吗啡酮可行走式分娩镇痛组（A组）45例、罗哌卡因结合舒芬太尼可行走式分娩镇痛组（B组）45例以及常规分娩组（C组）33例。比较三组产妇的剖宫产率、产后出血量、胎儿FSaO2，并对比三组胎儿窒息程度。结果：三组产妇年龄、孕周、胎儿体重、剖宫产率以及产后2 h、24 h出血量比较无统计学差异（P>0.05），A组胎儿轻度窒息率高于B、C组，A组胎儿正常率低于B、C组（P<0.05），B、C组胎儿的轻度窒息率、正常率比较无统计学差异（P>0.05），A组的第一产程、第二产程胎儿FSaO2 低于B、C组（P<0.05），B、C两组第一产程、第二产程胎儿FSaO2比较无统计学差异（P>0.05）。结论：罗哌卡因结合舒芬太尼的可行走式分娩镇痛与常规分娩均不影响产妇的分娩结局和胎儿FSaO2，相较罗哌卡因结合氢吗啡酮在分娩镇痛中具有可行性及安全性。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effects of different methods of ambulatory labor analgesia on delivery outcomes and fetal oxygen saturation (FSaO2). Methods: 123 cases of primiparas pregnant women who were hospitalized for delivery in obstetrics and gyne- cology department in second people's hospital of chengdu from January 2017 to February 2018 were selected as research objects. They were divided into ropivacaine combined with hydrogen morphine ambulatory labor analgesia group (group A) with 45 cases, ropivacaine combined with sufentanil ambulatory labor analgesia group (group B) with 45 cases and conventional delivery group (group C) with 33 cases. The cesarean section rate, postpartum hemorrhage, FSaO2 were compared between the three groups, and the degree of asphyxia in the three groups were compared. Results: There was no significant difference between the three groups in maternal age,gestational age, fetal weight, cesarean section rate and the amount of postpartum bleeding within 2 h and 24 h(P>0.05). The fetal mild asphyxia rate of group A was higher than that of group B and group C, while the normal rate of fetus of group A were lower than that of those two groups (P<0.05). There was no difference in fetal mild asphyxia rate and the normal rate of fetus of groups B and group C(P>0.05). The FSaO2 in the first and second labor strage of group A were lower than those of group B and group C(P<0.05). There was no difference of the fetal FSaO2 in the first and second labor strage between group B and group C(P>0.05). Conclusion: Conventional delivery and ropivacaine combined with sufentanil ambulatory labor analgesia has no effect on delivery outcomes and FSaO2. It is feasible and safe compared ropi- vacaine combined with hydrogen morphine ambulatory labor analgesia. |
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