国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
3期
297-299
,共3页
郑丽娟%刘晶%胡祖荣%黎昆伟%黄希照
鄭麗娟%劉晶%鬍祖榮%黎昆偉%黃希照
정려연%류정%호조영%려곤위%황희조
PCEA%分娩镇痛
PCEA%分娩鎮痛
PCEA%분면진통
Patient-controlled epidural anesthesia%Labor analgesia
目的 探讨硬膜外自控镇痛(PCEA)分娩镇痛对产痛、产程和新生儿的影响.方法 将1200例产妇随机分为镇痛组和对照组,每组600例；镇痛组行舒芬太尼复合罗哌卡因连续硬膜外分娩镇痛,对照组常规分娩处理.观察记录两组产痛程度、产程时间、缩宫素使用率、产后出血量、剖宫产率以及新生儿情况.结果 镇痛组镇痛后10 min、30 min、60 min、宫口开全时产痛VAS评分分别为(43.1±11.2)、(33.2±13.7)、(13.6±6.7)、(10.3±4.1),较对照组[(82.9±18.5)、(83.7±18.1)、(84.3±18.7)、(80.3±17.3)]明显降低(P＜0.05)；镇痛组第一产程活跃期[(157.7±31.9)min]明显短于对照组[(197.7±35.2)min](P＜ 0.05),第二、三产程两组差异无统计学意义(P＞0.05)；镇痛组剖宫产率(43％)明显低于对照组(53％),缩宫素使用率(61％)明显高于对照组(31％)(P＜0.05)；两组产妇产后出血、新生儿Apgar评分差异无统计学意义(P＞0.05).结论 PCEA分娩镇痛安全有效,能满足产妇的镇痛需要,对母婴均无不良影响.
目的 探討硬膜外自控鎮痛(PCEA)分娩鎮痛對產痛、產程和新生兒的影響.方法 將1200例產婦隨機分為鎮痛組和對照組,每組600例；鎮痛組行舒芬太尼複閤囉哌卡因連續硬膜外分娩鎮痛,對照組常規分娩處理.觀察記錄兩組產痛程度、產程時間、縮宮素使用率、產後齣血量、剖宮產率以及新生兒情況.結果 鎮痛組鎮痛後10 min、30 min、60 min、宮口開全時產痛VAS評分分彆為(43.1±11.2)、(33.2±13.7)、(13.6±6.7)、(10.3±4.1),較對照組[(82.9±18.5)、(83.7±18.1)、(84.3±18.7)、(80.3±17.3)]明顯降低(P＜0.05)；鎮痛組第一產程活躍期[(157.7±31.9)min]明顯短于對照組[(197.7±35.2)min](P＜ 0.05),第二、三產程兩組差異無統計學意義(P＞0.05)；鎮痛組剖宮產率(43％)明顯低于對照組(53％),縮宮素使用率(61％)明顯高于對照組(31％)(P＜0.05)；兩組產婦產後齣血、新生兒Apgar評分差異無統計學意義(P＞0.05).結論 PCEA分娩鎮痛安全有效,能滿足產婦的鎮痛需要,對母嬰均無不良影響.
목적 탐토경막외자공진통(PCEA)분면진통대산통、산정화신생인적영향.방법 장1200례산부수궤분위진통조화대조조,매조600례；진통조행서분태니복합라고잡인련속경막외분면진통,대조조상규분면처리.관찰기록량조산통정도、산정시간、축궁소사용솔、산후출혈량、부궁산솔이급신생인정황.결과 진통조진통후10 min、30 min、60 min、궁구개전시산통VAS평분분별위(43.1±11.2)、(33.2±13.7)、(13.6±6.7)、(10.3±4.1),교대조조[(82.9±18.5)、(83.7±18.1)、(84.3±18.7)、(80.3±17.3)]명현강저(P＜0.05)；진통조제일산정활약기[(157.7±31.9)min]명현단우대조조[(197.7±35.2)min](P＜ 0.05),제이、삼산정량조차이무통계학의의(P＞0.05)；진통조부궁산솔(43％)명현저우대조조(53％),축궁소사용솔(61％)명현고우대조조(31％)(P＜0.05)；량조산부산후출혈、신생인Apgar평분차이무통계학의의(P＞0.05).결론 PCEA분면진통안전유효,능만족산부적진통수요,대모영균무불량영향.
Objective To explore the effects of patient-controlled epidural anesthesia (PCEA) on labor pain,birth process,and newborns.Methods 1200 puerperas were randomly divided into analgesia group and control group (n =600).The analgesia group received PC EA with sufentanil and ropivacaine; the control group re ceived conventional childbirth care.The degree of labor pain,duration of labor process,rate of oxytocin uses,postpartum hemorrhage volumn,rate of Cesarean section,and newborn states were noted.Results The degree of labor painin analgesiagroup(VAS scores were 43.1 ± 112,33.2± 13.7,13.6±6.7,and 10.3±4.1,respectively after analgesia.) was significantly lower than that in the control group (VAS scores were 82.9 ± 18.5,83.7 ± 18.1,and 80.3 ±17.3,respectively after analgesia) (P ＜ 0.05).The active period of first stage of labor (157.7 ± 31.9)min in analgesia group was evidently shorter than that in the control group (P＜ 0.05).Rate of Cesarean section was significantly lower in analgesia group than in the control group(43％ vs.53％,P ＜ 0.05).Rate of oxytocin uses was obviously greater in analgesia group than in control group (61％ vs.31％,P＜ 0.05).Postpartum hemorrhage volumn and Apgar score did not differ significantly between the two groups (P＞0.05).Conclusions Patient-controlled epidural anesthesia is safe and effective in relieving labor pain.It can meet the needs for maternal analgesia and has no adverse effects on mothers and babies.
