硬膜外分娩镇痛转行硬膜外剖宫产麻醉失败的相关因素分析  

Analysis of related factors of epidural labor analgesia switch to epidural cesarean section anesthesia failure

作　　者：牟本进 

机构地区：[1]四川省成都市郫都区妇幼保健院麻醉科,611730

出　　处：《中国社区医师》2017年第17期35-36,38,共3页Chinese Community Doctors

摘　　要：目的:探讨硬膜外分娩镇痛转行硬膜外剖宫产麻醉导致失败的因素。方法:收治硬膜外分娩镇痛转行硬膜外剖宫产麻醉产妇127例,以麻醉结局为依据将其分成Ⅰ组和Ⅱ组。结果:Ⅰ组在接受镇痛处理30 min后疼痛评分显著少于Ⅱ组,且镇静持续时间以及补救镇痛次数比Ⅱ组少(P<0.05);麻醉成功产妇相比于麻醉失败产妇,Ⅰ组产程、子宫复原时间、产后24 h出血量均比Ⅱ组少(P<0.05);Ⅰ组分娩1 min后的新生儿Apgar评分比Ⅱ组高(P<0.05)。结论:在产妇接受硬膜外分娩镇痛时,增加镇痛次数、加长分娩镇痛时间等都会增加麻醉失败概率。Objective: To investigate the related factors of epidural labor analgesia switch to epidural cesarean section anesthesia failure.Methods:127 cases of cesarean section patients who had epidural labor analgesia switch to epidural cesarean section anesthesia were selected.They were divided into group Ⅰ and group Ⅱ on the basis of the results of anesthesia.Results:The pain scores of the Ⅰ groups after analgesia 30 min were significantly less than 2 group,and the duration of analgesia and sedation recovery times less than group Ⅱ(P<0.05);compared with anesthesia failure puerpera,the labor,uterine recovery time,postpartum hemorrhage rate of 24 h of the Ⅰ groups were less than those of the Ⅱ group(P<0.05);the apgar score of the Ⅰ groups after delivery of 1 min was higher than that of the Ⅱ group(P<0.05).Conclusion:In the epidural analgesia,the increase of the number of analgesia and the duration of labor analgesia increased the probability of failure.

关 键 词：硬膜外分娩镇痛 硬膜外剖宫产麻醉 失败因素 

分 类 号：R614[医药卫生—麻醉学]