当前位置: 首页 > 期刊 > 《中华现代妇产科学杂志》 > 2005年第12期
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氧化亚氮吸入镇痛分娩对母婴的影响
http://www.100md.com 《中华现代妇产科学杂志》 2005年第12期
镇痛,,分娩;镇痛;氧化亚氮,1资料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 探讨氧化亚氮(笑气)吸入性镇痛分娩的疗效以及对母婴的影响。方法 正常足月妊娠,单胎头位,年龄在20~35岁的初产妇100例,随机分为2组,镇痛组(50例)吸入氧化亚氮镇痛,对照组(50例)未镇痛。观察比较两组产痛程度、分娩方式、产程时间、产后出血量及新生儿Apgar评分。结果 镇痛组和对照组的镇痛有效率分别为86%和12%,差异有非常显著性(P<0.01)。两组剖宫产率镇痛组(24%)低于对照组(46%),差异有显著性(P<0.05)。两组总产程,镇痛组[(6.32±2.74)h]短于对照组[(8.66±2.97)h],差异有非常显著性(P<0.01)。两组在产后出血、新生儿Apgar评分方面差异无显著性。结论 氧化亚氮吸入分娩镇痛效果满意,对母儿均无不良影响,值得临床推广使用。

    【关键词】 分娩;镇痛;氧化亚氮

    Nitrous oxide inhaling for analgesic labor and its effects on mother and infant

    WANG Ai-juan,ZUO Wan-xing.

    Department of Obstetrics and Gynecology,Baoshan Branch,The First Peoples Hospital,Shanghai 200940,China

    【Abstract】 Objective To explore the effects of nitrous oxide analgesia on pregnant women and fetus.Methods 100 primiparae who were 20~35 ages and normal term,head presentation,monocyesis,were randomly divided into one of the two groups,50 cases treated with analgesia of nitrous oxide were studied as the study group and 50 cases with no analgesic treatment were as control group.The effect iveness of analgesia,the mode of delivery,labor stages,postpartum haemorrhage and the Apgar scores of neonate were compared between the two groups.Results The analgesia rate in study group and control group was 86% and 12% respectively.The difference was statistically significant(P<0.01).The rate of cesarean section was 24% in study group which was lower than that in control group (46%),The difference was statistically significant(P<0.05).The whole labor process was (6.32±2.74) hours in study group which was less than in control group(8.66±2.97) hours.The difference was statistically significant(P<0.01).The differences of postpartum haemorrhage and the Apgar scores of neonate between the two groups were not statistically significant.Conclusion Using nitrous oxide analgesia during labor can improve the effectiveness of labor,and is safe for the mother and infant.Therefore it is worthy to be widely used. ......

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