对比程控脉冲式注射与连续输注在硬膜外分娩镇痛中的应用效果  

Effect of Programmed Pulse Injection and Continuous Infusion on Epidural Labor Analgesia

作　　者：杨勇 王会 张丽华 黄文莲 YANG Yong;WANG Hui;ZHANG Lihua;HUANG Wenlian(Chenggong District People's Hospital,Kunming,Yunnan 650500,China)

机构地区：[1]昆明市呈贡区人民医院,云南昆明650500

出　　处：《大医生》2020年第18期6-8,共3页Doctor

摘　　要：目的比较硬膜外分娩镇痛应用程控脉冲式注射、连续输注方式的效果差异。方法选取2019年1月至12月昆明市呈贡区人民医院收治的80例进行无痛分娩的产妇为研究对象,采取随机数字表法分为A组与B组,每组40例。A组产妇接受程控脉冲式注射,B组产妇应用连续输注。比较两种方式下产妇疼痛程度、自控镇痛需求、产程时间。结果A组产妇麻醉开始后4 h疼痛程度低于B组,差异有统计学意义(P<0.05);A组产妇自控镇痛需求情况低于B组,差异有统计学意义(P<0.05);A组产妇各产程时间与B组比较,差异无统计学意义(P>0.05)。结论在硬膜外分娩镇痛中选择程控脉冲式注射方式相对于常规连续输注模式在镇痛、麻醉需求方面效果更好。Objective To compare the effect of epidural analgesia with pulse injection and continuous infusion.Methods A total of 80 parturients with painless delivery in Chenggong District People's Hospital from January to December 2019 were selected and randomly divided into group A and group B with 40 cases in each group.Group A received programmed pulse injection,while group B received continuous infusion.The pain degree,patient-controlled analgesia demand and labor process time were compared between the two methods.Results The pain degree after 4 h of group A was lower than that of group B,the difference was statistically significant(P<0.05);the requirement of patient-controlled analgesia in group A was lower than that in group B,the difference was statistically significant(P<0.05);there was no significant difference in the time of labor between group A and group B(P>0.05).Conclusion The choice of programmed pulse injection mode for epidural delivery analgesia is superior to conventional continuous infusion mode in terms of analgesia,anesthetic requirement.

关 键 词：程控脉冲式注射 连续输注 硬膜外分娩镇痛 

分 类 号：R71[医药卫生—妇产科学]