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38 CHINA MEDICINE AND PHARMACY2014年6月第4卷第12期·短篇论著·分娩属于妇女正常的生理过程， 但是该过程也是女性心理与生理强烈的应激过程， 分娩镇痛的实施很好地缓解了产痛， 减少了产痛给母婴带来的不良影响。与此同时， 分娩是个受多因素影响的过程，分娩期间， 各种因素， 包括无痛分娩本身， 因其对产力、 胎盘血供等的影响， 都会对分娩及其结局产生影响[1-2]。我院对于初产妇采取无痛分娩常规缩宫素处理， 效果显著， 现将结果报道如下。1  资料与方法1.1  一般资料选取我院 2011 年 10 月～ 2013 年 12 月接诊初产妇无痛分娩常规缩宫素应用对母婴的影响唐超君1    徐世元2    谢秀萍3    陈  玲11. 广东省乐昌市人民医院麻醉科， 广东乐昌 512200； 2. 广东省珠江医院麻醉科， 广东广州 510280；3. 广东省乐昌市人民医院妇产科， 广东乐昌 512200[ 摘要 ] 目的 探讨初产妇无痛分娩常规缩宫素的应用对母婴的影响。 方法 选取我院初产妇 80 例作为研究对象， 随机分为对照组与治疗组， 各 40 例。其中对照组采取无痛分娩处理， 而治疗组采取无痛分娩 + 缩宫素静脉点滴处理， 对比分析两组处理方式对母婴的影响效果， 评价指标包括总产程时间、 出血量、 有效镇痛率、 疼痛评分、 剖宫产率、 助产率、 并发症、 新生儿 Apgar 评分等。 结果 治疗组初产妇总产程时间、 出血量、疼痛评分、 剖宫产率、 并发症发生率、 助产率皆明显低于对照组， 组间对比差异有统计学意义 （P ＜ 0.05） ； 治疗组新生儿 Apgar 评分皆明显高于对照组， 组间对比差异有统计学意义 （P ＜ 0.05） 。 结论 初产妇无痛分娩常规缩宫素应用可以改善母婴结局， 能明显加速产程， 减少出血量、 器械助产率、 母体疲劳、 剖宫产率及并发症发生率等， 同时新生儿 Apgar 评分更高， 值得借鉴。[ 关键词 ] 初产妇； 无痛分娩； 常规缩宫素； 母婴； 影响[ 中图分类号 ] R714.3      [ 文献标识码 ] B      [ 文章编号 ] 2095-0616（2014） 12-38-03Effect of conventional oxytocin applied in painless labour of primiparas on mothers and infantsTANG  Chaojun1.Department of Anesthesia, People's Hospital of Lechang, Guangdong, Lechang 512200,China;2.Department of Anesthesia, Zhujiang Hospital, Guangdong, Guangzhou 510280,China;3.Department of Gynecology and Obstetrics, People's Hospital of Lechang, Guangdong, Lechang 512200,China[Abstract] Objective To explore the effect of conventional oxytocin applied in painless labour of primiparas on mothers and infants. Methods 80 primiparas in our hospital were selected as subjects, and randomly assigned to a control group and a treatment group, with 40 in each. The control group received painless labour, and the treatment group received painless labour plus intravenous drip of oxytocin. The effects of the two different methods on mothers and infants were compared and analyzed. Indices used for evaluation included total stage of labour, amount of bleeding, effective rate of analgesia , pain scores, rate of caesarean section, rate of aids to delivery, complications and Apgar scores. Results The total stage of labour, amount of bleeding, pain scores, rate of caesarean section, incidence of complications and rate of aids to delivery in the treatment group of primiparas were all significantly shorter or lower than those in the control group, and the differences between groups were statistically significant (P ＜ 0.05); Apgar scores in the treatment group were all significantly higher than those in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The oxytocin applied in painless labour of primiparas improves the outcome of mothers and infants. The method significantly accelerates the total stage of labour, increases Apgar scores and reduces the amount of bleeding, rate of aids to delivery by apparatus, maternal fatigue, rate of caesarean section and incidence of complications, which is worthy of learning and application.[Key words] Primiparas; Painless labour; Conventional oxytocin; Mothers and infants; Effect1    XU  Shiyuan2    XIE  Xiuping3    CHEN  Ling1[基金项目]广东省韶关市医药卫生科研计划立项项目 （Y13006） 。