硬膜外间断脉冲给药速度对分娩镇痛效果的影响  

Effect of delivery rate of intermittent epidural bolus on labor analgesia

作　　者：黄伯万 黄强 廖锦华[2] HUANG Bo-wan;HUANG Qiang;LIAO Jin-hua(Department of Anesthesiology,Shenzhen People's Hospital,Shenzhen Anesthesiology Engineering Center,Shenzhen 518020,China;;Department of Anesthesiology,Nanshan District Maternity and Child Healthcare Hospital,Shenzhen 518067,China)

机构地区：[1]广东省深圳市人民医院麻醉科,深圳市麻醉医学工程研究中心,广东深圳518020 [2]广东省深圳市南山区妇幼保健院麻醉科,广东深圳518067

出　　处：《广东医科大学学报》2018年第5期561-564,共4页Journal of Guangdong Medical University

基　　金：深圳市卫生计生系统科研项目(No.SZBC 2017016)

摘　　要：目的观察硬膜外间断脉冲给药速度对分娩镇痛效果的影响。方法 160例接受分娩镇痛的初产妇均行硬膜外间断脉冲给药,其中高速组、低速组注药速度分别为300、100 mL/h。镇痛后6 h内每隔1 h进行视觉模拟评分法(VAS)评分、感觉阻滞平面和运动阻滞情况的评估,记录自控镇痛和辅助镇痛次数、分娩时间、分娩方式、剖宫产原因。结果两组在VAS评分、感觉阻滞和运动阻滞、自控镇痛和辅助镇痛次数、分娩时间、分娩方式、剖宫产原因等方面的差异均无统计学意义(P>0.05)。结论硬膜外间断脉冲给药速度对分娩镇痛效果无明显影响。Objective To investigate the effect of delivery rate of intermittent epidural bolus on labor analgesia.Methods A total of 160 primipara undergoing labor analgesia received intermittent epidural bolus with a delivery rate of 300 mL/h(high rate group)or 100 mL/h(low rate group).Visual analogue scale(VAS)score,sensory blockade plane and motor blockade were evaluated every 1 h during 6 h after analgesia.Number of patient-controlled analgesia and anesthetist-assisted analgesia,delivery time and mode,and cesarean causes were also recorded.Results There were insignificant differences in VAS score,sensory and motor blockade,patient-controlled analgesia and anesthetist-assisted analgesia,delivery time and mode,and cesarean causes between two groups(P>0.05).Conclusion The delivery rate of intermittent epidural bolus has no effect on labor analgesia.

关 键 词：分娩镇痛 硬膜外阻滞 间断给药 

分 类 号：R714[医药卫生—妇产科学]