中期妊娠引产孕妇对镇痛认知程度调查  

A SURVEY ON COGNITION OF ANALGESIA IN WOMEN UNDERGOING MID-TRIMESTER INDUCTION OF LABOR

作　　者：孙冰[1] 张丕兴[1] 田瑞云[2] 纪绪师 孙静波[1] 黄雪芹[2] 

机构地区：[1]青岛市第八人民医院麻醉科,山东青岛2661001 [2]青岛市第八人民医院妇科,山东青岛2661001

出　　处：《齐鲁医学杂志》2012年第1期28-30,共3页Medical Journal of Qilu

摘　　要：目的调查中期妊娠引产孕妇对镇痛的认知程度。方法选择100例中期妊娠引产孕妇进行镇痛宣教,分别于宣教前后进行问卷调查,并对71例接受镇痛孕妇镇痛后的满意度进行调查。结果宣教前86%的孕妇认为引产可引起不可忍受的剧烈疼痛,93%的孕妇有紧张不安及焦虑情绪,92%的孕妇对镇痛工作不接受或表示担心及怀疑;宣教后有71%的孕妇愿意接受镇痛,其中43%的孕妇选择瑞芬太尼静脉自控镇痛(PCIA),28%的孕妇选择自控硬膜外镇痛(PCEA)。对接受镇痛孕妇调查显示,PCIA及PCEA两组孕妇镇痛满意率均在95%以上,且95%以上的孕妇认为开展镇痛工作是有必要的。结论加强引产镇痛的宣传工作可使更多的孕妇认识到引产镇痛的安全性和优越性。Objective To investigate the cognition of analgesia in pregnant women who underwent mid-trimester induction of labor（MTIL）.Methods Education and promotion on awareness of analgesia was conducted in 100 pregnant women undergoing MTIL,they were surveyed by a questionnaire before and after the education,and their satisfaction degree on analgesia was evaluated in 71 of them.Results Before receiving the education,86% of the pregnant women thought that induced labor would cause unbearable pain,93% of them were nervous and anxious,and 92% did not accept analgesia or worried and suspected;After education,71% of them accepted analgesia,of whom,43% preferred remifentanil intravenous analgesia（PCIA）,and 28% selected self-controlled epidural analgesia（PCEA）.An investigation carried out in those accepting analgesia demonstrated that the satisfaction rate of those in both PCIA and PCEA groups was over 95%,and they considered that to develop a work to relieve pain in induced labor was a must.Conclusion To strengthen publicity of induced labor analgesia can raise pregnant women＇s awareness of the safety and superiority of this kind of pain-killing technique.

关 键 词：镇痛 产科 引产 认知 问卷调查 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]