中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
1期
92-94
,共3页
导乐陪伴%导乐仪%椎管内麻醉%分娩镇痛
導樂陪伴%導樂儀%椎管內痳醉%分娩鎮痛
도악배반%도악의%추관내마취%분면진통
Doula%Doula instrument%Intraspinal anesthesia%Labor analgesia
目的 对比导乐陪伴联合导乐仪镇痛与椎管内麻醉对母婴的作用和影响.方法 选择正常足月初产妇235例完全随机分为导乐仪组(110例)和椎管组(125例).2组由导乐助产士陪伴分娩,导乐仪组导乐助产士指导下产妇迫切需要镇痛时使用导乐仪、椎管组使用麻醉药(芬太尼2.5 μg/ml±0.125％罗哌卡因共2 ml)注入蛛网膜下腔,在整个分娩过程中观察镇痛效果、产程进展、分娩方式、产后出血与新生儿情况.结果 椎管组镇痛有效率[98.4％ (123/125)]优于导乐仪组[77.3％ (85、110)],导乐仪组第1、2产程时间[(105±32)min、(39±16) min]均短于椎管组[(163±33) min、(50±197) min],差异有统计学意义(P＜0.05)；导乐仪组阴道正常产、阴道助产和剖宫产率分别为58.2％ (64/110)、12.7％ (14/110)和29.1％(32/110),椎管组则分别为42.4％(53/125)、25.6％(32/125)和32.0％ (40/125),组间差异均有统计学意义(P＜0.05)；2组产妇产后2 h 出血量差异无统计学意义[(185±87)ml比(190 ±92)ml,P＞0.05].结论 导乐仪组产程时间短,椎管组镇痛效果满意,因此,导乐陪伴联合椎管内麻醉与导乐仪镇痛是目前较理想的分娩镇痛方法,对母婴无不良影响,选择何种方法,在临床工作中应根据具体情况具体应用.
目的 對比導樂陪伴聯閤導樂儀鎮痛與椎管內痳醉對母嬰的作用和影響.方法 選擇正常足月初產婦235例完全隨機分為導樂儀組(110例)和椎管組(125例).2組由導樂助產士陪伴分娩,導樂儀組導樂助產士指導下產婦迫切需要鎮痛時使用導樂儀、椎管組使用痳醉藥(芬太尼2.5 μg/ml±0.125％囉哌卡因共2 ml)註入蛛網膜下腔,在整箇分娩過程中觀察鎮痛效果、產程進展、分娩方式、產後齣血與新生兒情況.結果 椎管組鎮痛有效率[98.4％ (123/125)]優于導樂儀組[77.3％ (85、110)],導樂儀組第1、2產程時間[(105±32)min、(39±16) min]均短于椎管組[(163±33) min、(50±197) min],差異有統計學意義(P＜0.05)；導樂儀組陰道正常產、陰道助產和剖宮產率分彆為58.2％ (64/110)、12.7％ (14/110)和29.1％(32/110),椎管組則分彆為42.4％(53/125)、25.6％(32/125)和32.0％ (40/125),組間差異均有統計學意義(P＜0.05)；2組產婦產後2 h 齣血量差異無統計學意義[(185±87)ml比(190 ±92)ml,P＞0.05].結論 導樂儀組產程時間短,椎管組鎮痛效果滿意,因此,導樂陪伴聯閤椎管內痳醉與導樂儀鎮痛是目前較理想的分娩鎮痛方法,對母嬰無不良影響,選擇何種方法,在臨床工作中應根據具體情況具體應用.
목적 대비도악배반연합도악의진통여추관내마취대모영적작용화영향.방법 선택정상족월초산부235례완전수궤분위도악의조(110례)화추관조(125례).2조유도악조산사배반분면,도악의조도악조산사지도하산부박절수요진통시사용도악의、추관조사용마취약(분태니2.5 μg/ml±0.125％라고잡인공2 ml)주입주망막하강,재정개분면과정중관찰진통효과、산정진전、분면방식、산후출혈여신생인정황.결과 추관조진통유효솔[98.4％ (123/125)]우우도악의조[77.3％ (85、110)],도악의조제1、2산정시간[(105±32)min、(39±16) min]균단우추관조[(163±33) min、(50±197) min],차이유통계학의의(P＜0.05)；도악의조음도정상산、음도조산화부궁산솔분별위58.2％ (64/110)、12.7％ (14/110)화29.1％(32/110),추관조칙분별위42.4％(53/125)、25.6％(32/125)화32.0％ (40/125),조간차이균유통계학의의(P＜0.05)；2조산부산후2 h 출혈량차이무통계학의의[(185±87)ml비(190 ±92)ml,P＞0.05].결론 도악의조산정시간단,추관조진통효과만의,인차,도악배반연합추관내마취여도악의진통시목전교이상적분면진통방법,대모영무불량영향,선택하충방법,재림상공작중응근거구체정황구체응용.
Objective To investigate the effect of Doula instrument combined with spinal anesthesia and analgesia on mother and infant.Methods Women with normal fullterm primipara were randomly divided into 2 groups:125 cases of spinal anesthesia for labor analgesia in spinal group,110 cases of doula plus labor analgesia group.The 2 groups were observed of maternal analgesia,duration of labor,mode of delivery,postpartum hemorrhage and neonatal score.Results The analgesic effect of spinal group was superior to that of Doula instrument group; labor time in each instrument group was shorter than that in the spinal group,the difference was statistically significant (P ＜ 0.05) ; delivery methods between 2 groups had a significant diffcrence (P ＜ 0.05) ;maternal postpartum blood loss and the incidence of neonatal asphyxia rate between 2 groups was not significant (P ＞0.05).Conclusions Doula group shows short labor time and spinal group has good analgesia effects.Doula combined with spinal anesthesia is an ideal method for labor analgesia without adverse effects.
