查詢結果分析
來源資料
頁籤選單縮合
題名 | Does Epidural Analgesia Prolong Labor or Increase Risk of Cesarean Section?=硬膜外麻醉減痛分娩是否延長產程增加剖腹產機率 |
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作者 | 蕭懿萱; 楊淑芬; 黃慧慈; 周邦新; 林國城; Hsiao, Yi-hsuan; Yang, Shu-fen; Huang, Huei-tzu; Chou, Pan-hsin; Lin, Kuo-cherng; |
期刊 | 彰化醫學 |
出版日期 | 20030400 |
卷期 | 8:2 2003.04[民92.04] |
頁次 | 頁98-101 |
分類號 | 417.372 |
語文 | eng |
關鍵詞 | 硬膜外麻醉止痛法; 輔助器生產; 催生素; Epidural analgesia; Instrumental delivery; Oxytocin; |
中文摘要 | 背景及目的:本研究主要是探討硬膜外麻醉止痛法是否與延長產程有關,及是否增加剖腹產之危險性。 方法:我們收集來自彰化基督教醫院自1999年1月至12月期間屬於低危險妊娠,單胞胎,足月妊娠,自然產痛及正常頭位的302名孕婦。其中147名有接受硬膜外麻醉止痛法及155名沒有接受硬膜外麻醉止痛法。比較這兩群在產程,剖腹產率,輔助器生產(instrumental delivery)及使用催生素(Oxytocin)有何不同。 結果:比較接受硬膜外麻醉止痛法與沒有接受硬膜外麻醉止痛法兩群,除了年齡(27.82歲比26.36,P=0.002)外,並無其它分佈上的差異。接受硬膜外麻醉止痛法與沒有接受硬膜外麻醉止痛法在剖腹產比率(10.9%比10.3%)及第一產程(193.2分鐘(標準差293.9分鐘)比474.1分鐘(標準差246.5分鐘)),並無明顯差異。但在第二產程有接受硬膜外麻醉止痛法者約延長12分鐘(P<0.001),且器械輔助生產(62.3%比37.7%,P<0.001)及使用催生素(87.8%比61.9,P<0.001)比率較高。 結論:產程中使用硬膜外麻醉止痛法並不增加剖腹產的危險性,也不延長第一產程,但卻使催生素的使用率提高,器械輔助生產比率增加,第二產程也較延長。 |
英文摘要 | Background and purpose: The aim of this study was to determine if epidural analgesia prolonged labor or increased the risk of cesarean delivery. Methods: Three hundred and two nulliparous woman in a lower risk pregnancy, singleton, term pregnancies with spontaneous onset of labor and vertex presentation were included in our study. Women received epidural analgesia on demand (147) or no epidural analgesia (155). The duration of labor, rate of cesarean delivery, instrumental delivery, and oxytocin use between these two groups were compared. Results: There were no demographic difference between the epidural analgesia group and non-epidural analgesia, except for age (27.85 years vs. 26.36 years, P=0.002). There were no differences in the rate of cesarean delivery between study group and control group (10.9% vs. 10.3%), or the first stage of labor (493.2 min (SD 293.9) vs. 474.1 min (SD 246.5)). However, patients who received epidural analgesia had a longer second stage labor (12 minutes, P<0.001), higher rate of instrumental delivery (62.3% vs. 37.7%, P<0.001), and use of oxytocin augmentation (87.8% vs. 61.9%, P<0.001). Conclusion: Epidural analgesia during labor does not increase the risk of cesarean delivery or prolong the first stage of labor. However, it does prolong the second stage, increase instrumental delivery, and increase oxytocin use. |
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