实用妇科内分泌电子杂志
實用婦科內分泌電子雜誌
실용부과내분비전자잡지
Journal of Practical Gynecologic Endocrinology
2015年
2期
14-16
,共3页
单次硬膜外麻醉%无痛分娩%中期妊娠引产
單次硬膜外痳醉%無痛分娩%中期妊娠引產
단차경막외마취%무통분면%중기임신인산
Epidural anesthesia%Painless labor%Painless induced labor of middle pregnancy
目的：研究单次硬膜外麻醉无痛中期妊娠引产的疗效。方法选择2013年6月～2014年9月自愿在我院接受中期妊娠引产的单胎初产或者初产分娩后＞7年的孕妇60例。A组宫口扩张约2cm，自愿选择单次硬膜外麻醉无痛分娩30例，B组常规中期妊娠引产30例。中期妊娠引产均采用米非司酮联合利凡诺的方式。观察两组孕妇疼痛评分情况、分娩情况以及孕妇满意度情况。结果两组相比，产后出血量（mL）、胎盘胎膜残留和尿潴留的发生率差异均无统计学意义（P＞0.05）。宫口扩张约2cm后40min时（T2）疼痛评分、胎盘娩出时（T3）疼痛评分、规律宫缩至分娩时间（min）及孕妇满意度均差异有统计学意义（P＜0.05）。疼痛评分：A组T2和T3分别为（2.57±1.10）min和（3.57±0.90）min，B组T2和T3分别为（5.00±1.95）min和（4.30±1.2）min，A组疼痛发生率低；孕妇满意度：A组为73.33%， B组为43.33%，A组的孕妇满意度高；A组规律宫缩至分娩时间（min）与B组相比较差异有统计学意义（P＜0.05），A组为（154.83±28.99）min，B组为（216.17±53.85）min，A组的分娩时间更短。结论单次硬膜外麻醉无痛中期妊娠引产能够有效的减轻孕妇的分娩疼痛，缩短产程，提高孕妇满意度。
目的：研究單次硬膜外痳醉無痛中期妊娠引產的療效。方法選擇2013年6月～2014年9月自願在我院接受中期妊娠引產的單胎初產或者初產分娩後＞7年的孕婦60例。A組宮口擴張約2cm，自願選擇單次硬膜外痳醉無痛分娩30例，B組常規中期妊娠引產30例。中期妊娠引產均採用米非司酮聯閤利凡諾的方式。觀察兩組孕婦疼痛評分情況、分娩情況以及孕婦滿意度情況。結果兩組相比，產後齣血量（mL）、胎盤胎膜殘留和尿潴留的髮生率差異均無統計學意義（P＞0.05）。宮口擴張約2cm後40min時（T2）疼痛評分、胎盤娩齣時（T3）疼痛評分、規律宮縮至分娩時間（min）及孕婦滿意度均差異有統計學意義（P＜0.05）。疼痛評分：A組T2和T3分彆為（2.57±1.10）min和（3.57±0.90）min，B組T2和T3分彆為（5.00±1.95）min和（4.30±1.2）min，A組疼痛髮生率低；孕婦滿意度：A組為73.33%， B組為43.33%，A組的孕婦滿意度高；A組規律宮縮至分娩時間（min）與B組相比較差異有統計學意義（P＜0.05），A組為（154.83±28.99）min，B組為（216.17±53.85）min，A組的分娩時間更短。結論單次硬膜外痳醉無痛中期妊娠引產能夠有效的減輕孕婦的分娩疼痛，縮短產程，提高孕婦滿意度。
목적：연구단차경막외마취무통중기임신인산적료효。방법선택2013년6월～2014년9월자원재아원접수중기임신인산적단태초산혹자초산분면후＞7년적잉부60례。A조궁구확장약2cm，자원선택단차경막외마취무통분면30례，B조상규중기임신인산30례。중기임신인산균채용미비사동연합리범낙적방식。관찰량조잉부동통평분정황、분면정황이급잉부만의도정황。결과량조상비，산후출혈량（mL）、태반태막잔류화뇨저류적발생솔차이균무통계학의의（P＞0.05）。궁구확장약2cm후40min시（T2）동통평분、태반면출시（T3）동통평분、규률궁축지분면시간（min）급잉부만의도균차이유통계학의의（P＜0.05）。동통평분：A조T2화T3분별위（2.57±1.10）min화（3.57±0.90）min，B조T2화T3분별위（5.00±1.95）min화（4.30±1.2）min，A조동통발생솔저；잉부만의도：A조위73.33%， B조위43.33%，A조적잉부만의도고；A조규률궁축지분면시간（min）여B조상비교차이유통계학의의（P＜0.05），A조위（154.83±28.99）min，B조위（216.17±53.85）min，A조적분면시간경단。결론단차경막외마취무통중기임신인산능구유효적감경잉부적분면동통，축단산정，제고잉부만의도。
Objective To investigate the effect of painless induced labor of middle pregnancy with epidural anesthesia. Methods 60 cases of primipara or pregnant woman 7 years ago with single pregnancy and primiparity and being painless induced labor of middle pregnancy in my hospital from June in 2013 to September in 2014. All cases were randomized into two groups, group A(the dilatation of cervix 2 cm, the voluntary choice painless labor with epidural anesthesia, n=30 cases), group B(the painless induced labor of middle pregnancy for routine, n=30 cases).The pregnant women who painless induced labor of middle pregnancy by mifepristone and rivanol. Respectively, the situation of visual analogue scale (VAS) and the situation of delivery and the satisfaction degree of pregnant woman between tow groups. Results There were no significant difference in the mete of flooding and the retained placenta and the retention of urine between A group and B group(P>0.05).There were significant difference in the VAS at the dilatation of cervix 2 cm (T2) and the VAS at the placental expulsion (T3) and the regular uterine contraction to delivery time and the satisfaction degree of pregnant woman between A group and B group(P<0.05). The VAS at T2 and T3 were significantly lower in Group A Group A are (2.57±1.10)minand(3.57±0.90)min, Group B are(5.00±1.95)minand (4.30±1.2)min.The regular uterine contraction to delivery time was significantly lower in Group A(Group A is(154.83±28.99)min, Group B is(216.17±53.85)min.The satisfaction degree of pregnant woman was significantly lower in Group B Group A is 73.33%, Group B is 43.33%.Conclusion The painless induced labor of middle pregnancy with epidural anesthesia can relieve the pain of pregnant woman and decrease the process of parturition. To improve the satisfaction of pregnant women.
