连续硬膜外麻醉镇痛在中期妊娠引产中效果评价  

Effect Evaluation of Continuous Epidural Analgesia in Induction of Labor in Midpregnancy

作　　者：刘志强[1] 刘钊 程璐 

机构地区：[1]河南省郑州市第二人民医院,郑州450052

出　　处：《数理医药学杂志》2017年第11期1713-1714,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨连续硬膜外麻醉镇痛在中期妊娠引产中的效果。方法:选取某院2015年4月~2016年4月78例引产产妇,按照入院顺序分成观察组与对照组,对照组实施传统麻醉,观察组实施连续硬膜外自控镇痛麻醉,观察两组麻醉效果。结果:观察组镇痛起效时间低于对照组(P<0.05);观察组在5、10、30、60、90min时的VAS评分与对照组比较显著提高(P<0.05);观察组无疼痛比例明显高于对照组(P<0.05);观察组不良反应发生率与对照组比较明显降低(P<0.05)。结论:连续硬膜外麻醉镇痛在中期妊娠引产中的效果显著,可缓解产妇疼痛,降低并发症,临床推广应用价值高。Objective:To discuss the effect of continuous epidural analgesia in mid-term gestation induced labor.Methods:78 women with induced labor treated in a hospital from April 2015 to April 2016 were selected and divided into observation group and control group according to the admission order.The control group received traditional anesthesia,and the observation group received continuous epidural controlled analgesic anesthesia,then observed the anesthesia effect of two groups.Results:The onset time of analgesia in the observation group was lower than that in the control group(P<0.05);The VAS score of observation group at the time of 5,10,30,60,90 min was significantly higher than that of control group(P<0.05);The rate of no pain in the observation group was significantly higher than that in the control group(P<0.05);The incidence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Continuous epidural anesthesia in mid pregnancy induced labor has significant effect,which can relieve maternal pain,reduce complications,and the clinical application value is high.

关 键 词：连续硬膜外麻醉 镇痛 中期妊娠 引产 

分 类 号：R719.3[医药卫生—妇产科学]