CAJ | 학술논문

目的：观察非药物镇痛与椎管内麻醉镇痛分娩的效果。方法采用视觉模拟疼痛评分法( VAS)对安康市汉滨区第一医院2013年12月至2015年2月经阴道分娩的460例产妇的临床资料进行回顾性分析。结果采用非药物镇痛的观察组第一产程潜伏期、第二产程的疼痛程度较采用椎管内麻醉镇痛的对照组明显降低,差异均有统计学意义( t 值分别为-8.247、-2.201,均P<0.05)；观察组的第一、第二、第三产程时间较对照组均明显缩短,差异均有统计学意义( t值分别为-10.273、-3.476、-6.183,均P<0.05)；观察组较对照组的镇痛费用明显减少,差异有统计学意义(t=-20.288,P<0.05)。结论非药物镇痛分娩方法能够明显降低患者分娩疼痛,具有费用低廉、操作简单、安全有效等优点,值得进一步应用推广。
목적：관찰비약물진통여추관내마취진통분면적효과。방법채용시각모의동통평분법( VAS)대안강시한빈구제일의원2013년12월지2015년2월경음도분면적460례산부적림상자료진행회고성분석。결과채용비약물진통적관찰조제일산정잠복기、제이산정적동통정도교채용추관내마취진통적대조조명현강저,차이균유통계학의의( t 치분별위-8.247、-2.201,균P<0.05)；관찰조적제일、제이、제삼산정시간교대조조균명현축단,차이균유통계학의의( t치분별위-10.273、-3.476、-6.183,균P<0.05)；관찰조교대조조적진통비용명현감소,차이유통계학의의(t=-20.288,P<0.05)。결론비약물진통분면방법능구명현강저환자분면동통,구유비용저렴、조작간단、안전유효등우점,치득진일보응용추엄。
Objective To observe the parturition effect of nonpharmacologic analgesia and intraspinal narcotic analgesia. Methods Retrospective analysis using visual analog pain score ( VAS) was conducted on the data of 460 cases undergoing vaginal delivery in Ankang Hanbin First Hospital during December 2013 to February 2015. Results Compared with the control group with intraspinal narcotic analgesia, the pain intensity during the active period of the first birth process and the second birth process decreased significantly in the observation group with nonpharmacologic analgesia (t value was -8. 247 and -2. 201, respectively, both P<0. 05), and duration of three birth processes was shorter in the observation group (t value was -10. 273, -3. 476 and -6. 183, respectively, all P<0. 05). Meanwhile, analgesia cost of the observation group was significantly less (t = -20. 288,P <0. 05). Conclusion Nonpharmacologic analgesia can significantly reduce the pain of parturition, and has the advantages of low cost, simple operation, safety and efficiency. So it is worthy of further application.