硬膜外自控镇痛分娩镇痛最适时机探讨  

Discuss on the fittest time of epidural anesthesia for labor analgesia

作　　者：张艳[1] 史思仁[1] 费冬[1] 徐丽萍[1] 孙幼梅[1] 

机构地区：[1]杭州师范学院医学院附属余杭医院,浙江杭州311100

出　　处：《现代中西医结合杂志》2008年第23期3572-3573,共2页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察硬膜外分娩镇痛的效果,探讨分娩镇痛在产程中的最适镇痛时机。方法随机对照研究60例初产妇资料,潜伏期镇痛(A组)30例,活跃期开始镇痛(B组)30例,比较2组镇痛效果、产程时间、分娩方式及助产率、催产素使用率、新生儿Apgar评分异常、产后出血量。结果2组镇痛效果无显著性差异,各组孕妇的年龄、妊娠次数、分娩孕周、新生儿体质量、分娩方式、助产率、催产素使用率、阴道分娩产妇产程时间、新生儿Apgar评分异常、产后出血量均无显著性差异(P均>0.05)。结论硬膜外分娩镇痛最适时间应根据产妇意愿决定。Objective It is to observe the effect of epidural analgesia and to discuss the fittest time of labor analgesia in birth process. Methods The data of 60 primiparas were randomly and contrasted studied. 30 cases were in group A and begun analgesia in latent phase, the other 30 cases were in group B and begun analgesia in active phase. The analgesia effect, labor time, parturition mode, assisting parturition rate, oxytocin using rate, neonatus Apgar score abnormal and postpartum hemorrhage rate in the two groups were contrasted. Results There were no significant differences on analgesia effect, gravida age, gravidity, parturition gestational weeks, neonatus body mass, parturition mode, assisting parturition rate, oxytocin using rate, labor time of vaginal delivery puerpera, neonatus Apgar score abnormal and postpartum hemorrhage rate between the two groups （P 〉0.05）. Conclusion The fittest time of epidural labor analgesia should be according to puerpera＇s will.

关 键 词：镇痛分娩 硬膜外麻醉 潜伏期 

分 类 号：R714.3[医药卫生—妇产科学] R614.42[医药卫生—临床医学]