分娩鎮痛對降低產婦應激及促進安全分娩的作用

張雁 吳朝 勇沈 葉琴 方佳麗

[關鍵詞] 鎮痛分娩;產婦;應激;安全分娩

[中圖分類號] R714.3? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）21-0049-05

Effect of labor analgesia on reducing maternal stress and promoting safe delivery

ZHANG Yan? ?WU Chaoyong? ?SHEN Yeqin? ?FANG Jiali

Department of Obstetrics，Shaoxing Keqiao Women & Children′s Hospital，Shaoxing? ?312030，China

[Abstract] Objective To explore the effect of labor analgesia on reducing maternal stress and promoting safe delivery.Methods A total of 60 pregnant and lying-in women who gave birth in our hospital from October 2019 to March 2020 were selected as the study subjects， and randomly divided into the research group and the control group，with 30 women each.The research group was treated with combined spinal and epidural analgesia（CSEA） for labor analgesia，and the control group was treated with routine vaginal delivery.Stress response indicators， labor pain，anxiety scores，postpartum hemorrhage，fetal intrauterine distress，vaginal midwifery，and neonatal Apgar scores after birth were compared between the two groups. Results （1）In the two groups，levels of norepinephrine，adrenaline，renin，angiotensin A I， angiotensin A II， ACTH and Cor after delivery were all higher than those before delivery，and the statistically significant differences were observed （P<0.05）. After delivery，levels of norepinephrine，adrenaline，renin，angiotensin A I，angiotensin A II， ACTH and Cor in the research group were significantly lower than those in the control group，and the statistically significant differences were observed （P<0.05）.（2）The S-AI scores of both groups were higher 2 hours after delivery than those at the time of enrollment，and the differences were statistically significant （P<0.05）. The 2 h post-delivery score of the research group， however，was significantly lower than that of the control group， and the difference was statistically significant （P<0.05）. （3）The score of the research group 1 hour after delivery was significantly lower than that of the control group，and the difference between the two groups was statistically significant （P<0.05）.（4）The 2-hour postpartum blood losses in the research group were significantly lower than those in the control group， and the differences were statistically significant （P<0.05）. The midwifery rate of the research group was lower than that of the control group，and the difference was statistically significant （P<0.05）. No significant differences in postpartum hemorrhage， fetal distress，and neonatal Apgar scores at 1min and 5min after birth were observed between the two groups （P>0.05）.Conclusion Labor analgesia can relieve maternal stress response and promote safe delivery without increasing the incidences of intrauterine distress and other conditions.