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对入住菲鲁扎巴迪医院产科病房的产妇进行脊髓麻醉与未进行脊髓麻醉情况下正常阴道分娩结局的比较。

Comparison of the outcomes of normal vaginal delivery with and without spinal anesthesia in mothers admitted to the maternity ward of Firoozabadi Hospital.

作者信息

Larijani Samaneh Saghafian, Niksolat Maryam, Mirfakhraee Hosna, Rahimi Maryam, Asadi Shima, Mahdavynia Soheila, Mousavi Ashraf, Larijani Roshana Saghafian

机构信息

Department of Obstetrics and Gynecology, Firoozabadi Clinical Research Development Unit, Iran University of Medical Sciences, Tehran, Iran.

Department of Geriatric, Firoozabadi Clinical Research Development Unit, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Family Med Prim Care. 2022 Sep;11(9):5633-5637. doi: 10.4103/jfmpc.jfmpc_1998_21. Epub 2022 Oct 14.

Abstract

INTRODUCTION AND OBJECTIVE

The study of the methods of controlling labor pain is very important. One of the methods of pain relief is spinal anesthesia. Due to the different opinions about the effects of spinal anesthesia on the delivery process and maternal and fetal consequences, this study aimed to evaluate the effects of spinal anesthesia and compare it with normal vaginal delivery without spinal anesthesia.

METHODS

In this retrospective cohort study, 120 mothers, who were admitted to the maternity ward of Firoozabadi Hospital for delivery, were examined. The patients who met the inclusion criteria were divided into two groups of 60 people, one group receiving spinal anesthesia and one without spinal anesthesia, and then, were evaluated in terms of clinical variables and complications of the mother and fetus. Data were analyzed using SPSS statistical software.

RESULTS

The mean age of the mothers was 26.6 ± 5.9 years. Five mothers (4.2%) who received spinal anesthesia underwent emergency cesarean section and a significant difference was shown between the two groups ( = 0.02). The mean duration of the active phase of labor did not show a statistically significant difference between the two groups ( = 0.2), but the duration of the second phase of labor was significantly longer in the mothers who received spinal anesthesia ( = 0.008).

CONCLUSION

Spinal anesthesia can be used as a low-complication method in vaginal delivery to reduce pain.

摘要

引言与目的

研究控制分娩疼痛的方法非常重要。缓解疼痛的方法之一是脊髓麻醉。由于对脊髓麻醉对分娩过程及母婴后果的影响存在不同观点,本研究旨在评估脊髓麻醉的效果,并将其与未进行脊髓麻醉的正常阴道分娩进行比较。

方法

在这项回顾性队列研究中,对120名入住菲罗扎巴迪医院产科病房分娩的母亲进行了检查。符合纳入标准的患者被分为两组,每组60人,一组接受脊髓麻醉,另一组未接受脊髓麻醉,然后对母亲和胎儿的临床变量及并发症进行评估。使用SPSS统计软件对数据进行分析。

结果

母亲的平均年龄为26.6±5.9岁。接受脊髓麻醉的5名母亲(4.2%)接受了急诊剖宫产,两组之间存在显著差异(=0.02)。两组之间活跃期分娩的平均持续时间没有显示出统计学上的显著差异(=0.2),但接受脊髓麻醉的母亲第二产程的持续时间明显更长(=0.008)。

结论

脊髓麻醉可作为阴道分娩中并发症较少的方法用于减轻疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3be5/9731025/29f047330371/JFMPC-11-5633-g001.jpg

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