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目的探讨在分娩镇痛中应用硬膜外麻醉的效果及对产后抑郁的影响。方法 70例将进行自然分娩的产妇,根据入院治疗顺序随机分成对照组与观察组,各35例。对照组常规自然分娩,观察组使用硬膜外麻醉镇痛分娩。统计两组的分娩结果,并进行对比。结果观察组宫口全开时、胎儿娩出时的视觉疼痛模拟评分(VAS)以及产后5d、产后6周时的爱丁堡产后抑郁量表(EPDS)评分,舒适满意率均优于对照组,差异具有统计学意义(P<0.05)。结论在分娩镇痛中应用硬膜外麻醉能有效提高产科质量以及产妇的舒适满意率,降低了产后抑郁现象的发生,值得推广应用。
Objective To investigate the effect of epidural anesthesia on labor analgesia and its effect on postpartum depression. Methods 70 cases of spontaneous delivery of women, according to the order of admission were randomly divided into control group and observation group, 35 cases each. Control group routine natural childbirth, observation group using epidural anesthesia analgesia childbirth. Statistics of the two groups of delivery results, and compared. Results Visual analogue pain score (VAS) at delivery of fetus and postpartum postpartum postpartum depression (EPDS) score and comfort satisfaction rate at 6 weeks postpartum were all better in control group Statistical significance (P <0.05). Conclusion The application of epidural anesthesia in labor analgesia can effectively improve the quality of obstetric and maternal satisfaction rate of satisfaction and reduce the occurrence of postpartum depression, which is worth popularizing and applying.