两种输注方式用于分娩镇痛的临床效果观察  

作　　者：杨美英[1] 陆佩华[1] 肖辉[2] 

机构地区：[1]广州市第一人民医院妇产科,510180 [2]广州市第一人民医院麻醉科,510180

出　　处：《广州医药》2003年第1期51-52,共2页Guangzhou Medical Journal

摘　　要：目的 :观察两种注药方式对分娩镇痛效果及产程、分娩方式的影响。方法 :将 6 0例产妇随机分为Ⅰ、Ⅱ两组 ,每组 30例 ,均采用蛛网膜下腔 硬膜外联合阻滞麻醉 (CSEA) +硬膜外自控镇痛 (PCEA)实行分娩镇痛 ,Ⅰ组在宫口扩张至 9cm时暂停输药 ,胎儿娩出后重新输注药物至伤口缝合完毕 (间断法 ) ;Ⅱ组则全产程持续给药 (连续法 )。结果 :两组镇痛效果满意 ;两组第一产程活跃期相比差异无统计学意义 ,第二产程及总产程组间比较 ,Ⅰ组较Ⅱ组明显缩短 (P <0 0 1) ;两组分娩方式比较 ,差异有统计学意义 ,Ⅱ组产妇行剖宫产和阴道助产率分别较Ⅰ组上升 7% (P <0 0 5 )。结论 :间断法给药方式加速了第二产程进展 ,从而缩短了总产程 ,降低了手术助产率 。Objective:To study the effect of two painless birth methods on the stage of labor and the mode of birth Methods:60 patients were randomly divided into two groups They were both accepted the CSEA+PCEA In group Ⅰ,medicine were stopped infusing when the fetus was delivered,and then restarted to refuse until the incision had been sutured Medicine were continually infused in group Ⅱ Results:The efficiency of two methods was satisfactory There was no significant difference in active phase in the first stage of labor But on the total stage and the second stage of labor,the group Ⅰ was shorter than the group Ⅱ And the rate of operation in the group Ⅱ was 7% higher than that in group Ⅰ Conclusion:The interruption of administration can shorten the total stage of labor,and reduce the rate of operation

关 键 词：分娩镇痛 蛛网膜下腔-硬膜外联合阻滞 给药方式 

分 类 号：R714.3[医药卫生—妇产科学]