可行走分娩镇痛的临床观察  

The clinical observation of walking labor analgesa

作　　者：杨美英[1] 陆佩华[1] 

机构地区：[1]广州市第一人民医院妇产科,广东广州510180

出　　处：《南方护理学报》2004年第6期9-11,共3页Nanfang Journal of Nursing

摘　　要：目的探讨在产程中施行可行走分娩镇痛对产妇运动功能的影响。方法将100例产妇随机分为两组,每组50例,可行走分娩镇痛组,采用罗哌卡因腰硬联合麻(CSEA),施麻后协助产妇下床行走活动;自控镇痛组施行单纯硬膜外布比卡因自控镇痛(PCEA),镇痛成功后测试下肢活动功能。观察两组下肢运动神经阻滞、分娩各产程等运动功能指标。结果两组镇痛效果均满意;可行走分娩镇痛组对下肢运动神经阻滞明显弱于自控镇痛组(P<0.01);可行走分娩镇痛组第一产程及总产程较自控镇痛组明显缩短(P<0.01)。结论可行走分娩镇痛对产妇的运动功能无不良影响,可缩短第一产程和总产程,提高母婴安全性。Objective To investigate the effect of walking labor analgesia on the motor function of parturients. Methods One hundred parturients were randomly divided into 2 groups of 50: the study group receiving a combined spinal-epidural analgesia (CSEA) with ropivacaine and meanwhile walking around under the assistance, and the control group administrated bupivacaine using conventional patient-controlled epidural analgesia (PCEA). At the onset of analgesia, the motor function was tested, and motor nerve block of the lower limbs and motor functions at the duration of labor process were observed in both groups. Results Both groups showed good pain relief. Motor block in the study group was significantly less than that in the control group (P<0.01). Study group experienced a significantly shorter duration of the first stage as well as total labor than the control group (P<0.01). Conclusion Walking labor analgesia is highly safe for the parturients and neonates with no harmful effect on the motor function of parturients. Meanwhile, it can shorten the duration of the first stage and the total labor.

关 键 词：腰硬联合麻 分娩镇痛 运动功能 产程 

分 类 号：R473.71[医药卫生—护理学]