硬脊膜穿破硬膜外技术在分娩镇痛中的应用效果评价  

Efficiency evaluation of dural puncture epidural technique in labor analgesia

作　　者：顾海燕 黄阳 宁妮[1] 吕露 陶学有[1] GU Haiyan;HUANG Yang;NING Ni;LYU Lu;TAO Xueyou(Department of Anesthesiology,Yangzhou City Maternal and Child Health Care Hospital Affiliated to Medical College of Yangzhou University,Yangzhou,Jiangsu,225001)

机构地区：[1]扬州大学医学院附属扬州市妇幼保健院麻醉科,江苏扬州225001

出　　处：《实用临床医药杂志》2021年第24期101-103,112,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省扬州市社会发展项目专项经费资助项目(YZ2020111)。

摘　　要：目的观察硬脊膜穿破硬膜外(DPE)技术在分娩镇痛中的应用效果。方法选取行椎管内分娩镇痛产妇80例,随机分为DPE组和硬膜外阻滞(EP)组,每组40例。比较2组产妇镇痛起效时间、硬膜外自控镇痛(PCEA)按压次数、泵总用药量、镇痛时间、不良反应、麻醉平面、胎心减速情况、满意度及新生儿Apgar评分。结果与EP组产妇相比,DPE组产妇镇痛起效时间缩短,PCEA按压次数、泵总用药量减少,满意度更高,差异有统计学意义(P<0.05)。2组镇痛时间、不良反应、麻醉平面、胎心减速情况、新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论DPE在分娩镇痛中具有起效迅速、安全有效等特点,产妇的整体满意度更高。Objective To observe the effect of dural puncture epidural(DPE) technique in labor analgesia. Methods A total of 80 pregnant women with intraspinal delivery analgesia were selected and randomly divided into DPE group and epidural(EP) block group, with 40 cases in each group. The onset time of analgesia, the number of compression of patient-controlled epidural analgesia(PCEA), the total dosage of pump, analgesia time, adverse reactions, anesthesia plane, deceleration of fetal heart rate, satisfaction degree and neonatal Apgar score were compared between the two groups. Results Compared with the EP group, the onset time of analgesia in the DPE group was significantly shorter, the number of compression of PCEA and total dosage of pump were significantly lower, and the satisfaction degree was significantly higher(P<0.05). There were no significant differences in analgesic time, adverse reactions, anesthesia level, deceleration of fetal heart rate and neonatal Apgar score between the two groups(P>0.05). Conclusion DPE has the characteristics of rapid onset, safety and effectiveness in labor analgesia, and the overall satisfaction degree of pregnant women is higher.

关 键 词：硬脊膜穿破硬膜外阻滞 分娩镇痛 硬膜外阻滞 麻醉平面 胎心减速 

分 类 号：R614.4[医药卫生—麻醉学] R714.3[医药卫生—外科学]