120例自控硬膜外镇痛分娩临床观察(1)
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[摘要] 目的:探讨自控硬膜外镇痛(PCEA)对产妇及新生儿的影响。方法:对2008年9月~2009年9月我院120例行硬膜外分娩镇痛、健康、单胎头位、足月临产初产妇的产程、疼痛程度、分娩方式、产后出血、新生儿窒息等资料进行回顾性分析。结果:镇痛组活跃期较对照组缩短,剖宫产率较对照组低;镇痛组疼痛程度比对照组明显减轻,两组比较有显著性差异(P<0.05)。两组催产素使用率、阴道助产率、产后出血量、新生儿窒息率比较无显著性差异(P>0.05)。结论:自控硬膜外分娩镇痛对分娩过程及分娩结局均无不良影响,既能有效地缩短产程,又能有效地降低剖宫产率,是目前效果较确切和比较安全的方法,值得临床推广应用。
[关键词] 硬膜外;分娩;镇痛
[中图分类号] R714.3[文献标识码]A [文章编号]1673-7210(2010)06(a)-040-03
Clinical observation of controlled epidural analgesia in labor of 120 cases
CHEN Haiying, ZHONG Ni′nan
(Department of Gynecology and Obstetrics, the Central Hospital of Yiyang City, Yiyang 413000, China)
[Abstract] Objective: To discuss the impact of patient-controlled epidural analgesia on maternal and newborns. Methods: Retrospective analysis was conducted in 120 cases of epidural analgesia in labor, health, single fetal head position, the term of the provisional maternal the time of labor course, the pain of childbirth, mode of delivery, the amount of postpartum hemorrhage, asphyxia neonatal from September 2008 to September 2009 in our hospital. Results: Active time of analgesic group than that of the control group shortened, the rate of cesarean section decreased than that of the control group. Analgesia group level and anxiety alleviated than that of the control group, there were significant differences between them (P<0.05). The rates of oxytocin usage, vaginaldelivery, the amount of postpartum hemorrhage and the asphyxia neonatal in the two groups showed no significant difference (P>0.05). Conclusion: No adverse effects of labor analgesia is found on delivery process and outcome about the controlled epidural labor analgesia. It could shorten labor stage and decrease the cesarean section rate effectively. It is a kind of relatively effective and safe method, which is worthy of clinical use.
[Key words] Epidural; Delivery; Analgesia
产痛是伴随分娩过程中阵发性宫缩的剧烈疼痛,长时间的疼痛严重影响产妇的情绪,消耗体力,并可能因宫缩乏力引起产程延长,胎儿宫内窘迫等因素使剖宫产率增高。近年来,如何为产妇提供安全舒适的、至少是能够忍受的镇痛方法,使产妇能够忍受疼痛顺利分娩受到了越来越多的关注[1]。我院从2008年8月开展硬膜外分娩镇痛,通过对120例分娩镇痛的观察,探讨自控硬膜外镇痛(PCEA)对于产程、分娩方式、母婴合并症等的影响。
1 资料与方法
1.1 一般资料
选择2008年9月~2009年9月在我院自愿接受分娩镇痛的健康、单胎头位、足月临产初产妇120例为镇痛组,无明显头盆不称,无麻醉禁忌证,无妊娠合并症及并发症,年龄20~36岁,孕周37~42周;另选择同期条件相似,未行任何镇痛措施的100例单胎头位初产妇作为对照组 ......
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