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目的探讨分娩镇痛对降低临床剖宫产率的影响。方法回顾性分析重庆市武隆区妇幼保健院2015年7月—2016年10月收治的行硬膜外麻醉产妇82例为观察组,另选取本院同期未行硬膜外麻醉产妇82例为对照组。对照组产妇分娩前予以常规处理,观察组产妇予以硬膜外麻醉。比较两组产妇产程时间、剖宫产率、再次妊娠自愿选择阴道分娩率。结果两组产妇活跃期产程时间、第2产程时间比较,差异无统计学意义(P>0.05)。观察组产妇剖宫产率低于对照组(P<0.05)。观察组产妇再次妊娠自愿选择阴道分娩率高于对照组(P<0.05)。结论于分娩镇痛中应用硬膜外麻醉可降低产妇剖宫产率,且对产程影响较小。
Objective To investigate the effect of labor analgesia on reducing the rate of clinical cesarean section. Methods Retrospective analysis of 82 cases of epidural anesthesia maternal in Wulong District Maternal and Child Health Hospital of Chongqing from July 2015 to October 2016 were selected as the observation group. Another 82 cases of maternal epidural anesthesia were selected as the observation group Control group. The control group before giving birth to be routine treatment, the observation group of maternal epidural anesthesia. Compare the two groups of maternal labor time, cesarean section rate, pregnancy again voluntarily choose vaginal delivery rate. Results There was no significant difference in active labor between the two groups (P> 0.05). Cesarean section rate in observation group was lower than that in control group (P <0.05). In the observation group, the vaginal delivery rate of pregnant women who chose to be pregnant again was higher than that of the control group (P <0.05). Conclusion The application of epidural anesthesia in labor analgesia can reduce the rate of cesarean section, and less impact on labor.