舒适麻醉在产妇分娩过程中的效果  

The Effect of Comfortable Anesthesia during the Whole Delivery Process

作　　者：孟岚[1] 张红霞[1] 王洵[1] 

机构地区：[1]山东省青岛市市立医院,山东青岛266000

出　　处：《中国医学创新》2015年第16期129-131,共3页Medical Innovation of China

摘　　要：目的:探讨舒适麻醉腰-硬联合在产妇整个分娩过程中的效果。方法:将120例待产孕妇随机分为舒适麻醉组和对照组,每组各60例。对照组行非镇痛分娩,舒适麻醉组行心理干预和腰-硬联合麻醉镇痛分娩,采用视觉模拟疼痛评分法(VAS)评定两组产妇在整个分娩中经历导尿、产钳助产、会阴修补、子宫收缩时的疼痛得分,比较两组产妇的焦虑水平、产后出血、新生儿Apgar评分和产妇的满意度情况。结果:舒适麻醉组产妇在行导尿、产钳助产、会阴修补、子宫收缩各时点的VAS评分,以及分娩产生的焦虑评分均明显低于对照组,分娩后的满意度舒适麻醉组明显高于对照组,两组比较差异均有统计学意义(P<0.05),产后出血和新生儿Apgar评分两组差异无统计学意义(P>0.05)。结论:舒适麻醉流程减轻了产妇在整个分娩过程中痛苦和焦虑,减少分娩痛疼对产妇心理的影响,使产妇在整个分娩过程中具有明显的镇痛效果和满意度,消除医患矛盾,提高了产科质量,值得在临床上推广。Objective：To investigate the clinical effects of comfortable anesthesia combined spinal epidural during the whole delivery process.Method：120 pregnant women were randomly divided into comfortable anesthesia group and control group,60 cases in each group.In control group pregnant women were delivered without analgesics,in comfortable anesthesia group pregnant women were delivered with psychological intervention and combined spinal epidural anesthesia.Visual analogue pain score （VAS） was used to evaluate the pain scores during catheterization,forceps delivery,repair of perineum and uterine contraction.Puerperae’s anxiety scores,postpartum hemorrhage,neonatal Apgar score and maternal satisfaction were compared between two groups.Result：The VAS and anxiety scores during catheterization,forceps delivery,repair of perineum and uterine contraction in comfortable anesthesia group were lower than those in control group,the satisfaction after delivery in comfortable anesthesia group was higher than that in control group,the differences were statistically significant（P〈0.05）.There was no obviously difference between two groups in postpartum hemorrhage and neonatal Apgar score（P〉0.05）.Conclusion：The comfortable anesthesia can reduce puerperae’s pain and anxiety during the whole delivery process,and reduce the affect of puerperae’s psychology.So the analgesics effect of puerperaes is obvious with comfortable anesthesia.The satisfaction of puerperae is improved.It is beneficial to eliminate the doctor-patient contradiction,improve obstetric quality.In a word,the comfortable anesthesia is worthy popularized in clinical practice.

关 键 词：舒适麻醉 产妇 分娩 镇痛 效果 

分 类 号：R614[医药卫生—麻醉学]