瑞芬太尼静脉自控镇痛联合导乐陪产用于分娩镇痛的研究  

Study on remifentanil IV PCA joint doula in labor analgesia

作　　者：李红良[1] 邵伟[1] 李涛[2] 和静[2] 聂津[2] 

机构地区：[1]河北省唐县人民医院麻醉科,072350 [2]河北省唐县人民医院产科,072350

出　　处：《中国基层医药》2013年第22期3436-3438,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨瑞芬太尼静脉自控镇痛（PCA）联合导乐陪产用于分娩镇痛的安全性及有效性。方法选取经阴道分娩单胎足月产妇480例，根据随机数字表法分为四组，各120例，观察组为自愿实施瑞芬太尼静脉PCA联合导乐陪产的产妇，对照组1为选择“一对一”导乐陪产的产妇，对照组2为自愿实施瑞芬太尼静脉分娩镇痛的产妇，对照组3为正常分娩不采取任何措施的产妇。比较四组镇痛效果、产程时间、产后出血量、剖宫产率、新生儿窒息率、对医务人员满意度等的差异。结果观察组与对照组2镇痛效果均显著优于对照组1、对照组3，差异有统计学意义（t=4．34、4．76、4．94、5．32、6．32，4．42、4．71、4．86、5．28、6．26，均P〈0．05）。观察组第一、第二、第三产程分别为（516±123）min、（29±10）min、（8±4）min，均短于其他三组（t=3．76、4．21、4．18，均P〈0．05）。四组产后出血量、剖官产率、产钳助产率、新生儿Apgar评分及新生儿结局差异均无统计学意义（均P〉0．05）。结论瑞芬太尼静脉PCA联合导乐陪产用于分娩镇痛安全有效。Objective To investigate the value of remifentanil IV PCA joint doula in labor analgesia. Methods 480 single fetus at term vaginal delivery of maternal patients were randomly divided into four groups ： 120 cases voluntary implementation of remifentanil IV PCA joint doula maternity paternity were selected as the experimental group;120 cases in control group an order to carry out the studies in our hospital childbirth select ＂one to one＂ Doula paternity maternal; .120 cases voluntary implementation of the control group 2 intravenous analgesia with remifentanil maternal;120 cases in control group three normal deliveries in our hospital does not take any measures of maternal. The analgesic effect, labor time, postpartum hemorrhage, cesarean section rate, neonatal asphyxia, the medi- cal staff satisfaction were compared in four groups. Results Analgesic effect of experimental group and control group 2 was significantly better than the control group 1 and the control group 3, the differences were statistically significant （ t = 4.34,4.76,4.94,5.32,6.32 ;4.42,4.71,4.86,5.28,6.26, all P 〈 0.05 ）. The first, second, third labor stage of experimental group were （516 ± 123 ） rain, （ 29 ± 10 ） rain, （ 8 ± 4 ） min, which were shorter than those of the other groups（ t = 3.76,4.21,4.18, all P 〈0. 05 ）. Conclusion Remifentanil IV PCA joint Doula is safe and easy for labor analgesia.

关 键 词：瑞芬太尼 分娩 镇痛 

分 类 号：R714.3[医药卫生—妇产科学]