中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
35期
27-28
,共2页
复合麻醉%无痛分娩%潜伏期
複閤痳醉%無痛分娩%潛伏期
복합마취%무통분면%잠복기
Compound anesthesia%Labor analgesia%Latency
目的：评价复合麻醉无痛分娩应用在第1产程潜伏期的镇痛效果，以及对母婴的影响。方法：选取本院2011年1月-2013年1月420例确诊无内科疾病、足月单胎初产妇纳入研究，随机将产妇分为A、B两组，每组各210例。A组在潜伏期行分娩镇痛，B组在活跃期时行分娩镇痛。观察比较两组的剖宫产率、新生儿Apgar评分、第1产程时间、潜伏期和活跃期镇痛效果、产妇对全产程的满意率及产后抑郁发生率。结果：（1）两组的剖宫产率、新生儿Apgar评分比较差异无统计学意义（P>0.05）；（2）两组的第1产程时间、潜伏期和活跃期镇痛效果VAS评分、全产程满意率比较差异均有统计学意义（P<0.05）；（3）两组产后抑郁发生率均较低。结论：伊捷卡硬膜外麻醉复合布托啡诺静脉注射分娩镇痛应用于产妇产程潜伏期时，分娩镇痛作用明显，产妇对全产程满意率高，对新生儿Apgar评分无影响，而且两组产后抑郁发生率均较低。
目的：評價複閤痳醉無痛分娩應用在第1產程潛伏期的鎮痛效果，以及對母嬰的影響。方法：選取本院2011年1月-2013年1月420例確診無內科疾病、足月單胎初產婦納入研究，隨機將產婦分為A、B兩組，每組各210例。A組在潛伏期行分娩鎮痛，B組在活躍期時行分娩鎮痛。觀察比較兩組的剖宮產率、新生兒Apgar評分、第1產程時間、潛伏期和活躍期鎮痛效果、產婦對全產程的滿意率及產後抑鬱髮生率。結果：（1）兩組的剖宮產率、新生兒Apgar評分比較差異無統計學意義（P>0.05）；（2）兩組的第1產程時間、潛伏期和活躍期鎮痛效果VAS評分、全產程滿意率比較差異均有統計學意義（P<0.05）；（3）兩組產後抑鬱髮生率均較低。結論：伊捷卡硬膜外痳醉複閤佈託啡諾靜脈註射分娩鎮痛應用于產婦產程潛伏期時，分娩鎮痛作用明顯，產婦對全產程滿意率高，對新生兒Apgar評分無影響，而且兩組產後抑鬱髮生率均較低。
목적：평개복합마취무통분면응용재제1산정잠복기적진통효과，이급대모영적영향。방법：선취본원2011년1월-2013년1월420례학진무내과질병、족월단태초산부납입연구，수궤장산부분위A、B량조，매조각210례。A조재잠복기행분면진통，B조재활약기시행분면진통。관찰비교량조적부궁산솔、신생인Apgar평분、제1산정시간、잠복기화활약기진통효과、산부대전산정적만의솔급산후억욱발생솔。결과：（1）량조적부궁산솔、신생인Apgar평분비교차이무통계학의의（P>0.05）；（2）량조적제1산정시간、잠복기화활약기진통효과VAS평분、전산정만의솔비교차이균유통계학의의（P<0.05）；（3）량조산후억욱발생솔균교저。결론：이첩잡경막외마취복합포탁배낙정맥주사분면진통응용우산부산정잠복기시，분면진통작용명현，산부대전산정만의솔고，대신생인Apgar평분무영향，이차량조산후억욱발생솔균교저。
Objective:To evaluate the effectiveness and effect on maternal and infant of compound anesthesia in the first stage latency. Method:Four hundred and twenty healthy singleton term primiparas from January 2011 to January 2013 in the hospital were randomly divided into group A and group B,each group of 210 cases. Those in group A were treated by labor analgesia in the first stage latency,and those in group B were treated by labor anesthesia the active stage of labor. The indicators between the two groups were compared after treatment,such as the cesarean delivery rates,apgar scores of infants,the first stage times,analgesic effects,maternal comfort during total labor course and incidence of postpartum depression. Result:(1)There were no significantly different in cesarean delivery rates and Apgar scores of infants between two groups(P>0.05).(2)There were significantly different in analgesic effect VAS scores and maternal comfort during total labor course(P<0.05).(3)The incidences of postpartum depression in two groups were low. Conclusion:Levobupivacaine Hydrochloride epidural anesthesia combined with Butorphanol intravenous injection are effective in the first stage latency,have more maternal comfort during total labor course,no impact on Apgar scores of infants and a low risk of postpartum depression.
