持续镇痛分娩对产妇分娩结局和新生儿评分的影响.

Objective: To study the effect of continuous analgesia on delivery outcome and neonatal score of parturients. Methods: From July 2018 to July 2019, 101 parturients with epidural analgesia in our hospital from July 2018 to July 2019 were randomly divided into two groups. When the exact analgesic effect was achieved, after entering the second stage of labor, 51 parturients in the observation group used 0.4 ug/mL sufentanil and 0.08 % ropivacaine for continuous analgesia delivery. 50 parturients in the control group used physiological saline the local anesthetics in the pump after the uterine cavity was opened, until the end of delivery. Compare the rates of oxytocin use, uterine dilatation and the number of times the epidural self-controlled analgesia pump is pressed during the first and second stages of labor, delivery methods, newborn body weight, umbilical blood pH, and min and 5 min Apgar scores, VAS scores during maternal repair of the perineum, and maternal satisfaction scores for analgesia in the second stage of labor. There was no significant difference in the use rate of oxytocin, dilatation of the uterine orifice and the number of times of pressing the epidural self-controlled analgesia pump in the first and second stages of labor, the method of delivery (cesarean delivery, device assisted delivery, natural delivery rate), analgesia time in the first stage of labor, and first and second stage of labor between the two groups (P>0.05). Results: There was no significant difference in body weight, umbilical artery blood pH value, and the proportion of newborns with Apgar scores less than 8 in 1 min and 5 min after birth between the two groups (P>0.05). The VAS score of the observation group when repairing the perineum was significantly lower than that of the control group (P<0.05), and the satisfaction score of the women during the second stage of labor the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Continuous analgesic delivery has no significant effect on maternal delivery outcome and neonatal scores, but it can significantly increase maternal satisfaction with analgesia in the second stage of labor and with analgesia when repairing the perineum. [ABSTRACT FROM AUTHOR]