病人自控硬膜外镇痛行分娩镇痛的临床观察  

A Clinical Study on Patient Controlled Epidural Analgesia during Labor

作　　者：周东红[1] 邱承忠[1] 

机构地区：[1]南京铁道医学院附属医院麻醉科,210009

出　　处：《临床麻醉学杂志》2000年第11期554-555,共2页Journal of Clinical Anesthesiology

摘　　要：目的 :观察病人自控硬膜外镇痛 (PCEA)行分娩镇痛对母婴及产程的影响。方法 :10 0例产妇分为PCEA组 (n =42 )和对照组 (n =5 8)。PCEA组在第一产程活跃期开始施行PCEA ,记录两组产妇分娩过程中的产程时间、产程各时段的视觉模拟评分 (VAS)、分娩方式及新生儿Apgar评分。观察PCEA组产妇麻醉前后腹部和下肢肌力情况。结果 :两组产妇各产程时间、分娩方式和新生儿Apgar评分无统计学差异。PCEA组产程各时段的VAS评分明显小于对照组 (P <0 0 1) ,产妇麻醉后腹部和下肢肌力略有减弱 ,但不影响第二产程进程。结论 :PCEA行分娩镇痛时母婴安全 ,镇痛效果确切。Objective:To observe the effect of patient controlled epidural analgesia(PCEA) on the labor course and both of parturients and infants.Methods:One hundred parturients were divided into PCEA group (E, n= 42) and control group (C, n= 58).PCEA started at the beginning of the first labor process.The period of labor,VAS,labor mode and Apgar score were recorded at each labor process.Muscular tone of the abdomen and lower extremities was evaluated before and after PCEA.Results:There were no significant differences in the labor course,labor mode and Apgar score between two groups.The VAS,however,at each labor process was significantly less in group E than in group C.The muscular tone on the abdomen and extremities was decreased slightly without any effect on the second labor process in group E.Conclusion:PCEA used during labor is effective and safe.

关 键 词：分娩 自控硬膜外镇痛 PCEA 产程 

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