三种分娩镇痛方法的安全性与有效性分析  

Analysis of Three Kinds of Relieving Pain Methods for Parturition

作　　者：刘启瑞[1] 陈萍[1] 李萍[1] 

机构地区：[1]郑州市妇幼保健院,河南郑州450053

出　　处：《河南职工医学院学报》2005年第5期268-270,共3页Journal of Henan Medical College For Staff and Workers

摘　　要：目的比较目前临床常用的分娩镇痛方法的安全性与有效性,以合理选择符合分娩环境的镇痛方法减轻产妇分娩的痛苦。方法将有分娩镇痛要求的产妇随机分为三组,Ⅰ组:产妇自控硬膜外麻醉镇痛组(PCEA);Ⅱ组:穴位注射无菌用水加心理疗法(水针组);Ⅲ组:仅使用心理疗法(导乐服务组)。比较三组产妇镇痛效果、新生儿预后、产后出血、产程、分娩方式。结果Ⅰ组镇痛效果最确切,有效率100%,新生儿预后、产后出血与Ⅱ、Ⅲ组无差异,产程活跃期缩短,剖宫产率低于Ⅱ、Ⅲ组。Ⅱ组镇痛有效率63%,Ⅲ组为9%。结论产妇自控硬膜外麻醉对分娩镇痛效果肯定,对母婴无不良影响,在有麻醉条件的医院可作为首选镇痛方法;水针加心理疗法有一定的镇痛效果,方法简便易行,对母婴无影响,可在县、乡等不具备麻醉条件的医院推广使用。Objective To choose proper relieving pain method for puerpera, comparing the present clinical relieving pain methods for parturition. Methods The women in childbirth were divided into three groups randomly. Group Ⅰ. given PCEA ; Group Ⅱ , giv en psychotherapy. The analgetic effect, the childbirth way were all compared. Results en acupuncture therapy with medicinal injection ; Group Ⅲ only givnewborns prognosis, postrpartum heamorrhage, birth procedure and The analygetic effect was best in Group Ⅰ （effective rate 100% ）; there was no differences in prognosis and postpartum haemorrhage compared with Group Ⅱ andⅢ, and the caesarean birth rate was lower than that of Group Ⅱ andⅢ The effective rate was 60 % and 9 % in Group Ⅱ and Ⅲ Conclusion The analgestic effect of PCEA is certain, and there is no side effect, The method can be applied to a hospital with anaesthesia condition. Acupuncture therapy with medicinal infection plus psychotherapy is easy and has analgetic effect. So it can be applied to a hospital without anaesthesia condition.

关 键 词：分娩 镇痛 硬膜外麻醉 水针 心理疗法 

分 类 号：R741.1[医药卫生—神经病学与精神病学]