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山东大学学报（医学版） ›› 2014, Vol. 52 ›› Issue (7): 75-77.doi: 10.6040/j.issn.1671-7554.1.2014.005

• 临床医学 • 上一篇    下一篇

生物节律对分娩镇痛孕妇分娩方式的影响

包菊, 曲元, 王东信   

  1. 北京大学第一医院麻醉科, 北京 100034
  • 收稿日期:2014-04-24 修回日期:2014-05-14 出版日期:2014-07-10 发布日期:2014-07-10
  • 通讯作者: 王东信。E-mail：wangdongxin@hotmail.com E-mail:wangdongxin@hotmail.com

Influence of biological rhythm on delivery mode of pregnant women receiving analgesia

BAO Ju, QU Yuan, WANG Dongxin   

  1. Department of Anesthesiology, Peking University First Hospital, Beijing 100034, China
  • Received:2014-04-24 Revised:2014-05-14 Online:2014-07-10 Published:2014-07-10

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摘要： 目的 探索生物节律对分娩镇痛孕妇分娩方式的影响。方法 2 051例拟阴道分娩的头位、单胎、足月、自发宫缩进入产程并且接受了硬膜外分娩镇痛的初产妇纳入本研究。根据分娩时间分为上午组（7：01-13：00）、下午组（13：01-19：00）、晚上组（19：01-1：00）和凌晨组（1：01-7：00），观察各组分娩方式及新生儿情况。结果 ① 4组间的年龄、身高、体质量、妊娠周数、妊娠期合并症等差异无统计学意义（P>0.05）；② 4组间的分娩方式有统计学差异（P<0.01），晚上组剖宫产率高于其他各组（P<0.05）；③下午组和晚上组新生儿的体质量较高，而上午组和凌晨组较低。结论 生物节律对孕妇的分娩方式可能有影响，晚上时段剖宫产率更高。

关键词: 新生儿, 镇痛,产科, 初产妇, 生物节律, 分娩方式

Abstract: Objective To study the effect of biological rhythm on delivery mode. Methods In this retrospective cohort study, 2 051 nulliparas with term singleton cephalic pregnancy who were in spontaneous labor and preparing to deliver vaginally and received epidural analgesia were included. The parturients were divided into four groups according to the delivery time, i.e., morning group (7:01 to 13:00), afternoon group (13:01 to 19:00), evening group (19:01 to 1:00), and night group (1:01 to 7:00).The delivery mode and parameters were compared among the four groups. Results ①No significant differences on maternal demographic factors including age, height, weight, gestational age and pregnancy complications were found among the four groups (P>0.05). ②Significant difference was shown among the four groups in delivery mode (P<0.01).The rate of cesarean section was significantly higher in night group than in the other groups (P<0.05). ③Neonatal birth weight was higher in afternoon and evening groups than in morning and night groups. Conclusion Biological rhythm seems to influence the delivery mode,and the rate of cesarean section is the highest in evening periods.

Key words: Delivery mode, Analgesia, obstetric, Neonate, Biological rhythm, Nulliparous women

中图分类号: 

  • R714.3
[1] Chassard D, Bruguerolle B. Chronobiology and anesthesia[J]. Anesthesiology, 2004, 100(2):413-427.
[2] Webb D A, Culhane J. Time of day variation in rates of obstetric intervention to assist in vaginal delivery[J]. J Epidemiol Community Health, 2002, 56(8):577-578.
[3] Anderka M, DeClercq E R, Smith W. A time to be born[J]. Am J Public Health, 2000, 90(1):124-126.
[4] Cooperstock M, England J E, Wolfe R A. Circadian incidence of labor onset hour in preterm birth and chorioamnionitis[J]. Obstet Gynecol, 1987, 70(6):852-855.
[5] Cagnacci A, Soldani R, Melis G B, et al. Diurnal rhythms of labor and delivery in women: modulation by parity and seasons[J]. Am J Obstet Gynecol, 1998, 178(1):140-145.
[6] Mancuso P J, Alexander J M, McIntire D D, et al. Timing of birth after spontaneous onset of labor[J]. Obstet Gynecol, 2004, 103(4):653-656.
[7] Backe B. A circadian variation in the observed duration of labor. Possible causes and implications[J]. Acta Obstet Gynecol Scand, 1991, 70(6):465-468.
[8] 王玉梅, 李凤莲. 1996~1999年西宁地区婴儿出生时间规律的分析[J]. 青海医学院学报, 2001, 22(4):13-22.
[9] 黄细铭, 艾玲保. 广州市1 605例婴儿出生时间分析[J]. 海南医学, 2003, 14 (11): 90-91.
[10] 严金燕, 严红燕, 罗书练, 等. 影响婴儿出生时间若干因素分析[J]. 中国公共卫生, 1999, 15(8):704-705.
[11] 雷玉洁, 梁正东, 龙玲, 等. 应用圆形分布法对婴儿出生时间的分析[J]. 第三军医大学学报, 2001, 23(12):1441.
[12] Woodhead N, Lindow S.Time of birth and delivery outcomes: a retrospective cohort study[J]. J Obstet Gynaecol, 2012, 32(4):335-337.
[13] WHO. Appropriate technology for birth[J]. Lancet, 1985， 326(8452):436-437.
[14] Sufang G. Delivery settings and caesarean section rates in China[J]. Bull World Health Organ, 2007， 85(10):755-762.
[15] Goldstick O, Weissman A, Drugan A, et al. The circadian rhythm of "urgent" operative deliveries[J]. Isr Med Assoc J, 2003, 5(8):564-566.
[16] Spetz J, Smith M W, Ennis S F. Physician incentives and the timing of cesarean sections: evidence from California[J]. Med Care, 2001, 39(6):536-550.
[17] Mohammadbeigi A, Farhadifar F, Soufi Zadeh N, et al. Fetal macrosomia: risk factors, maternal, and perinatal outcome[J]. Ann Med Health Sci Res, 2013, 3(4):546-550.
[18] Aya A G, Vialles N, Mangin R, et al. Chronobiology of labour pain perception: an observational study[J]. Br J Anaesth, 2004, 93(3):451-453.
[19] Panni M K, Segal S. Local anesthetic requirements are greater in dystocia than in normal labor[J]. Anesthesiology, 2003, 98(4):957-963.
[20] Gould J B, Qin C, Chavez G. Time of birth and the risk of neonatal death[J]. Obstet Gynecol, 2005, 106(20):352-358.
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