腰硬联合分娩镇痛对初产妇产程进展及产时发热影响

来源期刊：广州医药 | 46-51 发布时间：2023-07-27 收稿时间：2025/11/13 18:33:28 阅读量：24

作者：: 林映迎,

林岸芸,

亓彩霞,

关键词：: 腰硬联合分娩镇痛初产妇产程产时发热; combined spinal-epidural analgesia primipara labor intrapartum fever

DOI：: 10.3969/j.issn.1000-8535.2023.06.008

收稿时间：: 2022-07-23
修订日期：
接收日期：
引用总数：: 1

目的探讨腰-硬联合阻滞分娩镇痛方式对初产妇在产程进展及产时发热的影响,为临床实践提供理论依据。方法回顾性分析2020年12月—2021年12月在广州市某三甲医院产科分娩产妇535例的基本资料。观察组（285例）采用腰-硬联合阻滞麻醉分娩镇痛,对照组（250例）选择常规无干预分娩。结果观察组中的产妇第一产程和第二产程的时间比对照组更长,且产后2 h出血量高于对照组,差异有统计学意义（P<0.05）,除此之外,2组产妇产时发热率比较差异也有统计学意义（P<0.01）。结论腰硬联合阻滞分娩镇痛在一定程度上会延长产程,且产后2 h的出血量较多,同时也会增加产时发热的概率,存在一定不良反应,故需要密切观察,保证母儿安全。

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