下载后可任意编辑分娩镇痛在自然分娩初产妇中的应用效果分娩镇痛在自然分娩初产妇中的应用效果 杨郁 王涛 [摘要]目的 探讨分娩镇痛在自然分娩初产妇中的应用效果。方法 回顾性分析 20XX 年 1 月～20XX 年 7 月在我院自然分娩的 102 例初產妇作为讨论对象，根据选择分娩干预方式的不同分为对比组（n=51）和观察组（n=51）。对比组实行非药物性镇痛，观察组实行非药物性镇痛联合椎管内麻醉镇痛，比较两组产程进展、产后出血量、痛苦程度、Apgar 评分及妊娠结局。结果 两组第一产程、第二产程及第三产程及总产程比较，差异无统计学意义（P>0.05）;观察组产后出血量为（239.84±21.69）ml，少于对比组的（287.04±22.31）ml，视觉模拟量表（VAS）评分为（5.06±0.69）分，低于对比组的（6.79±0.78）分，5 min 时 Apgar 评分为（8.55±0.54）分，高于对比组的（8.31±0.50）分，10 min 时 Apgar 评分为（8.95±0.47）分，高于对比组的（8.64±0.43）分，差异均有统计学意义（P [关键词]自然分娩;分娩镇痛;椎管内麻醉镇痛;初产妇;产程进展;妊娠结局 [Abstract] Objective To investigate the application effect of labor analgesia in primiparae with natural childbirth. Methods A retrospective analysis was performed on 102 primiparous women who gave birth naturally in our hospital from January 20XX to July 20XX. They were divided into control group （n=51） and observation group （n=51） according to the different ways of delivery intervention. In the control group ， non-drug analgesia was used ， and in the observation group ， non-drug analgesia combined with spinal anesthesia was adopted. The progress of labor ， postpartum hemorrhage， pain， Apgar score and pregnancy outcome were compared between the two groups. Results There was no significant difference 1下载后可任意编辑in the first， second， third， and total labor time between the two groups （P>0.05）. The postpartum hemorrhage was （239.84±21.69） ml in the observation group， less than that in the control group for （287.04±22....
