孕妇自控硬膜外麻醉分娩镇痛的临床观察与研究  

Clinical observation and study on Labor Analgesia in pregnant Women with controlled epidural Anesthesia

作　　者：秦宝玲[1] QIN Bao-ling(Fengtai Maternal and Child Health Hospital,Beijing,Beijing 100069 China)

机构地区：[1]北京市丰台区妇幼保健院,北京100069

出　　处：《安徽卫生职业技术学院学报》2018年第4期130-131,133,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:观察自控硬膜外麻醉分娩镇痛对产程、母儿结局的影响。方法:2017年9月开始按随机数字法收集住院行分娩镇痛孕妇资料,宫口开全停药为镇A组,宫口开全不停药为镇B组,截止2018年3月各收集50名,选同期未分娩镇痛50名为对照组。对比三组疼痛程度、活跃期、第二产程、尿潴留发生率、产后出血量及Apgar评分。结果:镇A/B组麻醉后VAS评分较麻醉前明显下降,两组均低于对照组(P<0.05);镇痛两组活跃期均明显短于对照组(P<0.05);镇痛两组二程均长于对照组,镇痛组尿潴留发生率均略高于对照组(P>0.05);三组产后出血量及Apgar评分比较,以及A、B两组二程比较差异均无统计学意义(P>0.05)。结论:孕妇自控硬膜外麻醉分娩镇痛可有效减轻孕妇痛苦,且可以明显缩短活跃期,全程用药不延长第二程、不增加产后出血量,对新生儿无明显不良影响。Objective：To observe the effect of self controlled epidural analgesia on the outcome of labor and mother and child.Methods： From September 1, 2017,we collect the data of pregnant women,according to random number method. The pregnant women in the group A,who go on labor analgesi in the second stage of labor.However,the group B do not.The number of pregnant in the two groups is 50,by the end of March31,2018. In the same period,the other pregnant women without labor analgesia were collected as the control group,a total of 50.Compared three groups of pain degree, active stage, second stage of labor, urinary retention, postpartum hemorrhage and Apgar score. Results： after anesthesia in the A／B group, the VAS score was significantly lower than that before anesthesia, and the two groups were lower than the control group（P〈0.05）. The active period of the two groups was significantly shorter than that of the control group（P〈0.05）; the two groups of analgesia in the two groups were all longer than the control group. The rate of urinary retention in the analgesic group was slightly higher than that of the control group（P〈0.05）. The three groups were compared with the postpartum hemorrhage and Apgar scores, and A, and the two groups in the B two were no significant difference（P〈0.05）. Conclusion： pregnant women controlled epidural anesthesia for labor analgesia,which can effectively alleviate the pain of pregnant women, and also significantly shorten the active period.The time is not prolonged,in the second stage of labor, pregnant women,who go on labor analgesia.And it also does not increase the amount of postpartum hemorrhage. It has no obvious adverse effects on the Apgar score of newborn.

关 键 词：病人自控硬膜外镇痛(PECA) VAS产程 APGAR评分 

分 类 号：R614.42[医药卫生—麻醉学]