CAJ | 학술논문

目的比较顺产产妇自控镇痛泵注射哌替啶和护士注射哌替啶的效果.方法将64例宫颈口扩张3 cm的产妇采用随机数字表法分为两组,对照组由护士根据产妇的要求注射哌替啶,观察组由产妇进行自控镇痛,比较两组产妇的镇痛效果、用药量、用药后不良反应和满意度.结果产妇自控镇痛与护士根据产妇需要镇痛的镇痛效果相当,但产妇自控镇痛用药量大,新生儿窒息发生率高,满意度较低,差异有统计意义(P<0.05).结论产妇自控镇痛的疗效等同于护士控制的镇痛,但由于哌替啶用量增大,对新生儿有一定的威胁,临床应谨慎使用.
목적비교순산산부자공진통빙주사고체정화호사주사고체정적효과.방법장64례궁경구확장3 cm적산부채용수궤수자표법분위량조,대조조유호사근거산부적요구주사고체정,관찰조유산부진행자공진통,비교량조산부적진통효과、용약량、용약후불량반응화만의도.결과산부자공진통여호사근거산부수요진통적진통효과상당,단산부자공진통용약량대,신생인질식발생솔고,만의도교저,차이유통계의의(P<0.05).결론산부자공진통적료효등동우호사공제적진통,단유우고체정용량증대,대신생인유일정적위협,림상응근신사용.
Objective To compare different effects of meperidine injected by nurses or by patients during labor. Methods Sixty-four healthy women beginning active labor (with cervical dilation of 3 cm) at term were randomly divided into two groups. In patient-controlled group, patients administered meperidine by themselves and those in another group received meperidine given as requested. Results The total meperidine dose and consumption rate were greater in patient-controlled group. Pain relief was judged to be equivalent. The incidence rate of neonatal asphyxia was higher in patient-controlled group (P<0.05). Conclusion Self-administration of meperidine by the patient presents the same effect as meperidine injected by the nurse while the increased medication dose may pose an increased threat to the infant.