中国药业
中國藥業
중국약업
China Pharmaceuticals
2015年
21期
13-14
,共2页
导乐仪%椎管内麻醉%分娩镇痛
導樂儀%椎管內痳醉%分娩鎮痛
도악의%추관내마취%분면진통
Doula%intraspinal anesthesia%labor analgesia
目的 比较导乐仪和椎管内麻醉2种镇痛方法对分娩的作用及影响.方法 将医院收治的待分娩产妇300例随机分为导乐仪组(A组)、椎管内麻醉组(B组)及对照组(C组),各100例.A组应用导乐仪镇痛,B组行椎管内麻醉镇痛,C组不做临床干预.结果 A组与B组镇痛效果相当,A组第1产程活跃期及第2产程时间均明显短于B组( P<0. 05);3组剖宫产率比较差异无统计学意义( P>0. 05);B组阴道助产率明显高于A组、C组( P<0. 05);3组新生儿评分比较,差异无统计学意义( P>0. 05);产后 2 h平均出血量A组明显少于B组( P<0. 05).结论 导乐仪与椎管内麻醉镇痛效果均较理想,对产妇和新生儿均无不良影响,临床选择何种方法镇痛,须尊重产妇意愿.导乐仪操作方法简便、应用安全,可作为分娩镇痛措施供产妇选择.2种镇痛方法均有效降低了社会因素的剖宫产率.
目的 比較導樂儀和椎管內痳醉2種鎮痛方法對分娩的作用及影響.方法 將醫院收治的待分娩產婦300例隨機分為導樂儀組(A組)、椎管內痳醉組(B組)及對照組(C組),各100例.A組應用導樂儀鎮痛,B組行椎管內痳醉鎮痛,C組不做臨床榦預.結果 A組與B組鎮痛效果相噹,A組第1產程活躍期及第2產程時間均明顯短于B組( P<0. 05);3組剖宮產率比較差異無統計學意義( P>0. 05);B組陰道助產率明顯高于A組、C組( P<0. 05);3組新生兒評分比較,差異無統計學意義( P>0. 05);產後 2 h平均齣血量A組明顯少于B組( P<0. 05).結論 導樂儀與椎管內痳醉鎮痛效果均較理想,對產婦和新生兒均無不良影響,臨床選擇何種方法鎮痛,鬚尊重產婦意願.導樂儀操作方法簡便、應用安全,可作為分娩鎮痛措施供產婦選擇.2種鎮痛方法均有效降低瞭社會因素的剖宮產率.
목적 비교도악의화추관내마취2충진통방법대분면적작용급영향.방법 장의원수치적대분면산부300례수궤분위도악의조(A조)、추관내마취조(B조)급대조조(C조),각100례.A조응용도악의진통,B조행추관내마취진통,C조불주림상간예.결과 A조여B조진통효과상당,A조제1산정활약기급제2산정시간균명현단우B조( P<0. 05);3조부궁산솔비교차이무통계학의의( P>0. 05);B조음도조산솔명현고우A조、C조( P<0. 05);3조신생인평분비교,차이무통계학의의( P>0. 05);산후 2 h평균출혈량A조명현소우B조( P<0. 05).결론 도악의여추관내마취진통효과균교이상,대산부화신생인균무불량영향,림상선택하충방법진통,수존중산부의원.도악의조작방법간편、응용안전,가작위분면진통조시공산부선택.2충진통방법균유효강저료사회인소적부궁산솔.
Objective To compare the efficacy of Doula and intraspinal anesthesia on the delivery quality. Methods 300 cases of preg-nant women were randomly divided into 3 groups,group A ( the doula instrument group ) , group B ( the intraspinal anesthesia group ) and group C ( the control group ) , 100 cases in each group. Group A used Doula Instrument on analgesia, group B used intraspinal anesthesia, group C applied no clinical intervention. Results The analgesic effects of group A and group B were equal. The active period of the first stage of labor and the second stage of labor of group A were significantly shorter than those of group B ( P < 0. 05 ) . The cesarean section rate of the 3 groups had no statistically significant difference. The vaginal midwifery rate of group B was higher than that of group A and group C ( P < 0. 05 ) . The score of newborn of the 3 groups had no statistically significant difference ( P > 0. 05 ) , the 2 h postpartum hemorrhage of group A was significantly less than that of group B ( P < 0. 05 ) . Conclusion Doula and intraspinal anesthesia analgesia effects are both ideal,without adverse effects on the maternal and neonatal. The maternal intention should be respected in the choice of analgesia. Because of the simple operation and security application, Doula Instrument delivery analgesia can serve as an analgesia measure for maternal to choose.
