妊娠高血压综合征自控性无痛分娩术106例疗效观察  

The therapeutic effects of patient-controlled epidural analgesia (PCEA) on pregnancy-induced hypertension syndrome

作　　者：黄瑾[1] 沈卓娜[1] 陈宏霞[1] 李斌飞[1] 张志刚[1] 

机构地区：[1]中山市人民医院妇产科,广东中山528403

出　　处：《暨南大学学报（自然科学与医学版）》2004年第2期194-197,共4页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：　目的:观察低浓度罗哌卡因腰硬联合麻醉(CSEA)和自控硬膜外镇痛泵(PCEA)对妊娠高血压综合征患者分娩镇痛的效果、分娩方式、血压变化以及新生儿Apgar评分的影响。方法:将住院孕妇中36周以后符合妊娠高血压综合征诊断标准的106例患者,随机分为麻醉镇痛(I组)和安定(II组),I组采用质量分数为0 15%罗哌卡因腰硬联合麻醉行分娩镇痛,II组采用10mg安定静脉推注使孕妇镇静以减轻产痛。结果:麻醉镇痛组患者血压明显低于安定组(P<0 05),极少加重病情及引起血压剧烈增高,镇痛效果好。麻醉镇痛组患者的产程时间明显短于安定组,阴道分娩率高,对新生儿Apgar评分无影响。结论:低浓度罗哌卡因CSEA+PCEA用于妊高征患者的无痛分娩效果良好,降低剖宫产率。Aim: To investigate the changes of analgesic effect, delivery mode, blood pressure and Apgar scores in patients with pregnancy-induced hypertension syndrome, combining low concentration ropivacaine with subarachnoid epidural anesthesia(CSEA) and patient-controlled epidural analgesia(PCEA). Methods: 106 patients with pregnancy-induced hypertension after 36 weeks gestation were randomly divided into narcotics group (group I) and valium group (group II). In group I, 0.15% ropivacaine with CSEA+PCEA were used, while 10 mg intravenous valium in group II. Results: The blood pressure was steady and significantly lower so as not to aggravate the pregnancy-induced hypertension syndrome in group I, compared with that in group II. In group I, the better analgesic effect, the significantly shorter labor durations and the significantly higher incidence of vaginal delivery were observed, compared with those in group II. There were no significant difference on neonatal Apgar scores. Conclusion:Low concentration ropivacaine using CSEA+PCEA is more beneficial and effective analgesia and lower the rate of cesarean delivery than valium in patients with pregnancy-induced hypertension syndrome.

关 键 词：妊高征 产科镇痛 分娩 罗哌卡因 

分 类 号：R713.5[医药卫生—妇产科学]