程控硬膜外间歇脉冲注入技术在孕妇分娩镇痛中的效果研究  

Study on the effect of programmed intermittent epidural bolus in labor analgesia in pregnant women

作　　者：王春红 WANG Chun-hong(Department of Anesthesiology,Maternal and Child Health Hospital of Sanshui District,Foshan 028100,China)

机构地区：[1]广东省佛山市三水区妇幼保健院麻醉科,028100

出　　处：《中国现代药物应用》2022年第7期36-38,共3页Chinese Journal of Modern Drug Application

基　　金：佛山市科学技术局科研立项(项目编号:1920001001760)项目名称:脉冲注药在硬膜外分娩镇痛中的应用。

摘　　要：目的探究在孕妇分娩镇痛中采用程控硬膜外间歇脉冲注入技术的效果。方法100例产科分娩的孕妇作为研究对象,通过随机数字表法分为对照组和观察组,每组50例。对照组孕妇给予持续硬膜外输注技术镇痛,观察组孕妇给予程控硬膜外间歇脉冲注入技术镇痛。对比两组孕妇不同时刻[镇痛前(t_(0))、镇痛后1 h(t_(1))、镇痛后2 h(t_(2))、镇痛后3 h(t_(3))、宫口开全时(t_(4))、分娩时(t_(5))]的视觉模拟评分法(VAS)评分和不良反应发生率。结果t_(0)、t_(1)时,两组孕妇的VAS评分对比,差异无统计学意义(P>0.05);t_(2)、t_(3)、t_(4)、t_(5)时,观察组孕妇的VAS评分分别为(1.68±0.87)、(1.29±0.46)、(1.58±0.49)、(2.41±0.61)分,低于对照组的(2.76±0.52)、(3.59±0.68)、(3.84±0.51)、(4.23±0.56)分,差异具有统计学意义(P<0.05);t_(1)、t_(2)、t_(3)、t_(4)、t_(5)时,两组孕妇的VAS评分均低于本组t_(0)时,差异具有统计学意义(P<0.05)。观察组孕妇的不良反应发生率6.0%低于对照组的32.0%,差异具有统计学意义(P<0.05)。结论在孕妇分娩过程中采用程控硬膜外间歇脉冲注入技术进行镇痛,不仅可减少其疼痛感,还可降低不良反应发生率。Objective To investigate the effect of programmed intermittent epidural bolus in labor analgesia in pregnant women.Methods A total of 100 pregnant women who delivered in obstetrics department were selected as the research subjects and divided into the control group and the observation group by random numerical table,with 50 cases in each group.Pregnant women in the control group received continuous epidural infusion for analgesia,while those in the observation group received programmed intermittent epidural bolus for analgesia.The visual analogue scale(VAS)score and incidence of adverse reactions at different time points[before analgesia(t_(0)),1 h after analgesia(t_(1)),2 h after analgesia(t_(2)),3 h after analgesia(t_(3)),when the uterus opens to the full extent(t_(4)),at delivery(t_(5))]were compared between the two groups.Results At t_(0) and t_(1),there were no statistically significant difference in VAS scoress between the two groups(P>0.05).At t_(2),t_(3),t_(4) and t_(5),the VAS scores of the observation group were(1.68±0.87),(1.29±0.46),(1.58±0.49),and(2.41±0.61)points,which were lower than(2.76±0.52),(3.59±0.68),(3.84±0.51),and(4.23±0.56)points in the control group,and the difference was statistically significant(P<0.05).At t_(1),t_(2),t_(3),t_(4) and t_(5),the VAS scores of the two groups were lower than that at t_(0),and the difference was statistically significant(P<0.05).The incidence of adverse reactions 6.0%of the observation group was lower than 32.0%of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of programmed intermittent epidural bolus in pregnant women during delivery can not only reduce the pain,but also reduce the incidence of adverse reactions.

关 键 词：程控硬膜外间歇脉冲注入技术 持续硬膜外输注技术 视觉模拟评分法 不良反应发生率 

分 类 号：R714.3[医药卫生—妇产科学]