| 马丽萍,张辰晨,程义玲,窦本芝,沈佳惠.硬膜外麻醉无痛分娩、剖宫产和自然分娩对盆底组织功能的影响[J].,2021,(11):2121-2124 |
| 硬膜外麻醉无痛分娩、剖宫产和自然分娩对盆底组织功能的影响 |
| Effects of Epidural Anesthesia on Pelvic Floor Function During Painless Delivery, Cesarean Section and Natural Delivery |
| 投稿时间：2021-01-04 修订日期：2021-01-26 |
| DOI：10.13241/j.cnki.pmb.2021.11.027 |
| 中文关键词: 无痛分娩 剖宫产 自然分娩 疼痛 盆底组织功能 |
| 英文关键词: Painful childbirth Cesarean section Natural childbirth Pain Pelvic floor tissue function |
| 基金项目:安徽省2018年高等学校人文社科研究项目（12925SK2018B10） |
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| 中文摘要: |
| 摘要 目的：比较不同的分娩方法（自然分娩、无痛分娩、剖宫产）对产妇盆底组织功能的影响。方法：选择2019年10月～2020年11月在我院进行分娩的80例产妇，其中，自然分娩组15例，无痛分娩组26例、剖宫产组39例。记录自然分娩组和无痛分娩组第一、第二产程的疼痛程度和第一、第二产程所需时间，巨大儿、新生儿黄疸、低体重儿和新生儿窒息等母婴结局，Apgar评分、产时出血量和胎儿体重；且检查产妇的盆底肌力，记录自然分娩组、无痛分娩组、剖宫产组的尿失禁发生率。结果：无痛分娩组的第一、第二产程的视觉模拟评分法（Visual analog scales,VAS）评分和第一、第二产程所需时间明显低于自然分娩组(P<0.05)；自然分娩组和无痛分娩组的巨大儿、新生儿黄疸、低体重儿和新生儿窒息率无明显差异(P>0.05)；自然分娩组和无痛分娩组的Apgar评分、产时出血量和胎儿体重无明显差异(P>0.05)；无痛分娩组的盆底肌力明显高于自然分娩组(P<0.05)，剖宫产组的盆底肌力明显高于无痛分娩组(P<0.05)；三组尿失禁的发生率对比差异无统计学意义(P>0.05)。结论：无痛分娩不但能减轻分娩疼痛程度，还能减轻对盆底组织功能的损伤，值得进行推广。 |
| 英文摘要: |
| ABSTRACT Objective: To study the effect of epidural anesthesia on pelvic floor function during painless delivery, cesarean section and natural delivery. Methods: Selected 80 cases of delivery woman from October 2019 to November 2020, there were 15 parturients in natural delivery group, 26 parturients in painless delivery group and 39 parturients in planned cesarean section group. The pain degree of the first and second stages of labor, the time required for the first and second stages of labor, the maternal and infant outcomes of macrosomia, neonatal jaundice, low birth weight infants and neonatal asphyxia, Apgar score, intrapartum blood loss and fetal weight were recorded in the natural delivery group and painless delivery group; the pelvic floor muscle strength of the puerpera was examined, and the occurrence of urinary incontinence in the natural delivery group, painless delivery group and cesarean section group was recorded rate. Results: The VAS score and time required for the first and second stages of labor in painless delivery group were lower than natural delivery group (P<0.05). There was no significant difference in adverse maternal and infant outcomes, Apgar score, intrapartum hemorrhage and fetal weight between natural delivery group and painless delivery group (P>0.05), pelvic floor muscle strength of natural delivery group was higher than natural delivery group (P<0.05). There was no significant difference in the incidence of urinary incontinence among the three groups (P>0.05). Conclusion: Painless delivery can not only reduce the degree of labor pain, but also reduce the damage to pelvic floor tissue function. |
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