CAJ | 학술논문

目的：探讨连续硬膜外自控镇痛方式在孕中期妊娠引产中的麻醉效果。方法：对在本院接受治疗的76例引产产妇资料进行分析，将这些产妇（根据产妇引产的日期，单、双）分两组，每组38例。对照组产妇采用传统方法进行麻醉，试验组产妇采用连续硬膜外自控镇痛方式进行麻醉，比较两组患者的麻醉效果。结果：试验组镇痛起效时间为（7.4±1.6）min，长于对照组的（3.9±0.6）min，比较差异有统计学意义（P<0.01）；两组产妇产程和出血比较差异无统计学意义（P>0.05）；试验组无产妇出现不良反应和并发症，对照组有3例产妇发生不良反应，主要表现为呕吐、恶心等症状，发生率为7.9%。结论：临床上，孕中期妊娠引产中使用连续硬膜外自控镇痛方式临床效果较好，能够有效的缓解产妇的疼痛，减少对胎儿出生后的影响，值得在临床上推广使用。
목적：탐토련속경막외자공진통방식재잉중기임신인산중적마취효과。방법：대재본원접수치료적76례인산산부자료진행분석，장저사산부（근거산부인산적일기，단、쌍）분량조，매조38례。대조조산부채용전통방법진행마취，시험조산부채용련속경막외자공진통방식진행마취，비교량조환자적마취효과。결과：시험조진통기효시간위（7.4±1.6）min，장우대조조적（3.9±0.6）min，비교차이유통계학의의（P<0.01）；량조산부산정화출혈비교차이무통계학의의（P>0.05）；시험조무산부출현불량반응화병발증，대조조유3례산부발생불량반응，주요표현위구토、악심등증상，발생솔위7.9%。결론：림상상，잉중기임신인산중사용련속경막외자공진통방식림상효과교호，능구유효적완해산부적동통，감소대태인출생후적영향，치득재림상상추엄사용。
Objective: To investigate the continuous epidural analgesia anesthesia effect of pregnancy induced labor in the second trimester of pregnancy.Method: 76 patients induced labor parturient data treated in our hospital, according to maternal labor date, single, double, were divided into two groups, each group contained 38 parturient women. The control group used the traditional method of anesthesia, the experimental group parturient with combined spinal epidural anesthesia for anesthesia. To compare anesthesia effect of the two groups.Result: The onset time of analgesia of the experimental group was (7.4±1.6) min, which was longer than that of the control group (3.9 ± 0.6) min (P<0.01). The two groups had no difference in the duration of labor and hemorrhage(P>0.05). There were no maternal adverse reactions and complications in the experimental group, but 3 cases in the control group of maternal adverse reactions occurred, mainly for vomiting, nausea and other symptoms, the incidence rate was 7.9%.Conclusion: Clinical, PCEA mode has a good clinical effect using second trimesterpregnancy induced labor, can alleviate the maternal pain effectively, reduces the impact of the fetus after birth, worth in clinical use.