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題名 | Continuous Epidural Analgesia for Painless Labor Does Not Increase the Incidence of Cesarean Delivery=持續硬脊膜外腔止痛術作無痛分娩不會增加剖腹生產發生率 |
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作 者 | 馮勁驃; | 書刊名 | 麻醉學雜誌 |
卷期 | 38:2 2000.06[民89.06] |
頁次 | 頁79-84 |
分類號 | 417.372 |
關鍵詞 | 硬脊膜外腔止痛術; 剖腹產; 疼痛; Analgesia : epidural; Cesarean section; Pain; |
語文 | 英文(English) |
中文摘要 | 背景:持續性硬脊膜外腔止痛術,常被用來作無痛分娩,這樣是否會增加剖腹生產的機會,一直引起關注。本研究的目的,在探計為健康而足月的產婦,施行硬脊膜外腔止痛術後,會否影響到剖腹生產的發生。方法:回顧822位產婦的病歷記載,分別計算曾在產程中施予硬脊膜外腔止痛的產婦,和不曾接受硬脊膜外腔止痛的產婦當中,剖腹生產的比率和odds ratio。結果:整體而言,在止痛組中,剖腹的比率是11.1%,對照組是16.2%,oddsotio為0.65(95%信賴區間:0.37至1.08),并無統計上的差异。但是,若單以初次生產的婦女為分析對象時,止痛組的剖腹比率是11.6%,對照組是25.1%,且odds ratio為0.39(95%信賴區間:0.20至0.71),這樣的差异則具有統計上的意羲。結論:以持續性硬脊膜外腔止痛作無痛分娩,非但不含增加剖腹生產的風險,對初次生產的婦女而言,反而有所減低。 |
英文摘要 | Background: Continuous epidural analgesia is a popular technique provided for labor pain relief. Howevet the possible association between epidural analgesia and increased rate of cesarean delivery is always a concern. The purpose of this study was to explore if epidural analgesia would affect the rate of cesarean delivery in healthy term parturient women. Methods: A retrospective review of obstetric records of 822 parturients was done to compute the proportions and odds ratio of cesarean delivery between parturients receiving epidural analgesia for labor pain relief and those not receiving. Results: Results indicated that the overall proportion of cesarean delivery was 11.1% in the epidural group as against 16.2% in the control group and the odds ratio was 0.65 (95% confidence interval: 0.37 to 1.08). The difference between groups was not statistically significant. Howevet; for nulliparous women alone, the proportions of cesarean delivery were 11.6% and 25.1% in exposure group and control group respectively. The odds ratio was 0.39 (95% CL 0.20 to 0.71). This difference was statistically significant. Conclusions: The findings may support the conclusion that continuous epidural analgesia for pain relief during labor would not increase the rate of cesarean delivery. In contrast, it may reduce this risk in nulliparas. |
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