硬膜外麻醉用于分娩镇痛的临床分析及护理  

Clinical analysis and nursing on epidural analgesia in labor analgesia

作　　者：王承玲[1] 李仁兰[1] 

机构地区：[1]重庆医科大学附属第二医院产科,重庆400010

出　　处：《现代医药卫生》2012年第17期2598-2599,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨硬膜外麻醉在分娩镇痛中的效果及价值,以寻找一种理想的分娩镇痛方式。方法将2011年7—11月分娩的单胎头位足月临产孕妇100例分为两组,对照组(50例)不进行任何镇痛处理;研究组(50例)进行硬膜外阻滞加硬膜外自控镇痛。对两组患者镇痛效果、产程时间、分娩方式及新生儿Apgar评分进行比较。结果研究组镇痛效果好,与对照组比较,活跃期明显缩短,差异有统计学意义(P<0.05);两组第二产程、新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论硬膜外麻醉用于分娩镇痛安全、有效,对新生儿的Apgar评分无影响。Objective To investigate the effect and value of the epidural analgesia in labor analgesia ,and to find an ideal mode of delivery to search out an ideal labor analgesia mode. Methods 100 parturient women of full term, single fetus and head position from July to November 2011 were divided into 2 groups. The control group（50 cases） received no analgesia treatment, while the study group （50 cases） was given epidural block plus patient-controlled epidural analgesia （PCEA）. The analgesic effect,labor duration, delivery mode and neonatal Apgar scores were compared between the two groups. Results The analgesic effect of the study group was better than that of the control group, the active phase was obviously shortened with statistical difference （P〈0.05） ,but no statistical difference in the second stage of labor and newborn Apgar scores was found between the two groups. Conclusion Epidural analgesia is safe,effective for labor analgesia without influence on neonatal Apgar scores.

关 键 词：麻醉 硬膜外 分娩 接生 产科 方法 镇痛 产科 护理 

分 类 号：R714.3[医药卫生—妇产科学]