超声引导下硬膜外穿刺在肥胖产妇无痛分娩中的应用效果  

Application Effect of Ultrasound-guided Epidural Puncture in Painless Delivery of Obese Parturients

作　　者：汪宁 王纯辉[1] 王冰洁 WANG Ning;WANG Chunhui;WANG Bingjie(The First Affiliated Hospital of Anhui Medical University,Hefei 230011,China;不详)

机构地区：[1]安徽医科大学第一附属医院(安徽省公共卫生临床中心),安徽合肥230011

出　　处：《中外医学研究》2024年第15期135-138,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析超声引导下硬膜外穿刺在肥胖产妇无痛分娩中的应用效果。方法:选取2022年3月—2023年3月安徽医科大学第一附属医院收治的60例肥胖产妇。根据随机数表法将其分为对照组和观察组,各30例。两组均进行无痛分娩,对照组采用常规硬膜外穿刺硬膜外麻醉,观察组采用超声引导下硬膜外穿刺硬膜外麻醉。比较两组麻醉情况、穿刺情况、疼痛程度及不良事件。结果:观察组麻醉穿刺时间短于对照组,麻醉前准备时间长于对照组,差异有统计学意义(P<0.05)。观察组穿刺改变次数和重新穿刺次数均少于对照组,第一次穿刺通过成功率与改变方向穿刺成功率均高于对照组,差异有统计学意义(P<0.05)。观察组0级、Ⅰ级占比均高于对照组,Ⅱ级、Ⅲ级占比均低于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:超声引导下硬膜外穿刺能减少无痛分娩肥胖产妇穿刺次数,提高首次穿刺成功率,还能在一定程度上缓解疼痛,安全性相对较好。Objective:To analyze the application effect of ultrasound-guided epidural puncture in painless delivery of obese parturients.Method:Sixty obese parturients admitted to the First Affiliated Hospital of Anhui Medical University from March 2022 to March 2023 were selected.They were divided into control group and observation group according to random number table method,with 30 cases in each group.Both groups were given painless delivery,the control group received conventional epidural puncture epidural anesthesia,and the observation group received ultrasound-guided epidural puncture epidural anesthesia.The anesthesia condition,puncture condition,pain degree and adverse events were compared between the two groups.Result:The time of anesthesia puncture in the observation group was shorter than that in the control group,and the time of preparation before anesthesia was longer than that in the control group,the differences were statistically significant(P<0.05).The number of puncture changes and re-puncture times in the observation group were less than those in the control group,and the success rate of first puncture passing and success rate of the change direction puncture were higher than those in the control group,the differences were statistically significant(P<0.05).The proportion of grade 0 and grade Ⅰ in the observation group were higher than those in the control group,and the proportion of grade Ⅱ and grade Ⅲ were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Ultrasound-guided epidural puncture can reduce the number of puncture times of obese parturients in painless delivery,improve the success rate of the first puncture,and relieve pain to a certain extent,with relatively good safety.

关 键 词：超声引导 硬膜外穿刺 肥胖产妇 无痛分娩 镇痛效果 

分 类 号：R714.3[医药卫生—妇产科学]