脉冲式全自动注药泵用于硬膜外分娩镇痛中的价值分析  

Value Analysis of Pulsed Automatic Injection Pump for Epidural Labor Analgesia

作　　者：钟红霞 何晓峰[2] ZHONG Hong-xia;HE Xiao-feng(Department of Anesthesiology,Xuejia Town Health Center,Xinbei District,Changzhou,Jiangsu Province,213000 China;Department of Anesthesiology,Changzhou First People's Hospital(the Third Affiliated Hospital of Suzhou University),Changzhou,Jiangsu Province,213000 China)

机构地区：[1]常州市新北区薛家镇卫生院麻醉科,江苏常州213000 [2]常州市第一人民医院(苏州大学附属第三医院)麻醉科,江苏常州213000

出　　处：《世界复合医学》2019年第11期68-70,共3页World Journal of Complex Medicine

摘　　要：目的探讨脉冲式全自动注药泵用于硬膜外分娩镇痛中的价值。方法选取该院2018年1月-2019年6月接收的行硬膜外分娩镇痛产妇60例作为研究对象,采用数字法随机分为对照组和观察组,各30例,对照组采用常规全自动注药泵镇痛,观察组采用脉冲式全自动注药泵镇痛,对两组镇痛情况、分娩情况进行比较分析。结果两组镇痛前、镇痛后5 min的视觉模拟评分法(VAS)评分比较差异无统计学意义(P>0.05),观察组镇痛后15 min、30 min的VAS评分分别为(1.82±0.65)、(0.71±0.42)分,显著低于对照组(2.43±0.72)、(1.29±0.56)分(t=3.444、4.538,P<0.05);观察组剖宫产率、缩宫素使用率为3.33%、13.33%,比对照组20.00%和36.67%明显更低(χ~2=4.043、4.355,P<0.05)。结论硬膜外分娩镇痛采用脉冲式全自动注药泵能够提高镇痛效果,降低剖宫产率,减少缩宫素的使用。Objective To explore the value of pulsed automatic injection pump for epidural labor analgesia. Methods 60 cases of epidural labor analgesia primiparas received from January 2018 to June 2019 in the hospital were selected as subjects.They were randomly di-vided into control group and observation group by digital method, 30 cases in each group.The control group used conventional auto-matic injection pump for analgesia, and the observation group used pulsed automatic injection pump for analgesia.A comparative anal-ysis of the analgesic condition and childbirth in the two groups was conducted. Results There were no statistically significant differ-ences in visual analogue scale(VAS) scores between the two groups before and after analgesia(P>0.05). The VAS scores of the observation group at 15 min and 30 min after analgesia were(1.82±0.65)points and(0.71±0.42)points, respectively, which were significantly lower than the control group(2.43±0.72)points and(1.29±0.56) points(t=3.444,4.538, P<0.05);the cesarean section rate and oxytocin use rate in the observation group were 3.33% and 13.33%, which were significantly lower than the control group 20.00% and 36.67%(χ~2=4.043,4.355, P<0.05). Conclusion Epidural labor analgesia using pulsed automatic injection pump can improve the analgesic ef-fect, reduce the cesarean section rate, reduce the use of oxytocin.

关 键 词：脉冲式全自动注药泵 硬膜外阻滞 分娩 镇痛 

分 类 号：R614[医药卫生—麻醉学]