摘要
目的探讨经阴道分娩的产妇改良会阴麻醉方法的临床应用效果。方法将200例经阴道分娩行会阴切开术,无妊娠合并症的产妇随机分为两组各100例。会阴切开时按摩阿氏穴镇痛,缝合时应用0.5%利多卡因局部浸润和湿敷处理者为改良组,传统浸润麻醉者为对照组。产后护理和治疗均相同。比较两组产妇会阴麻醉镇痛效果、切口出血量、缝合时间、肿胀和愈合情况。结果改良组镇痛效果优于对照组(P<0.01);改良组切口出血、缝合时间、肿胀明显少于对照组(P<0.01);两组会阴切口甲级愈合无显著差异(P>0.05)。结论改良局部浸润麻醉方法符合产妇生理需求,且操作简便。临床应用效果明显优于传统局部浸润麻醉方法。
Objective To observe analgesic effect of modified anesthesia in perineum of parturients delivered via vagina. Methods 200 parturients who expected to deliver via vagina without any pregnancy complications were divided into two groups with 100 cases in each group. The pains of parturients in the modified anesthesia group were relieved by massaging on Arthus Acupoint in course of lateral episiotomy and locally performing infiltration anesthesia and wet dressing on the perineum with 0.5% lidocaine in suture, while those parturients in the control group only received conventional local infiltration anesthesia. The parturients in the two groups received same postoperative nursing and treatment. The analgesic effect of anesthesia in the perineum of parturients in the two groups, bleeding amount, suture time and swelling and healing of the incisional wound were compared. Results In the modified anesthesia group, the analgesik effect was better than that in the control group （P 〈 0.01 ）. In the modified anesthesia group, the bleeding amount was less, the suture time was shorter and swelling of the incision wound was lighter than those in the control group significantly （P 〈 0.01 ）. In class A incisional wound healing in the perineum, there was no significant difference between the two groups （P 〉 0.05 ）. Conclusion Modified local infiltration anesthesia fits to the parturients＇ physical needs and the operation is simple. The clinical analgesic effect is evidently better than that of the conventional local infiltration anesthesia.
出处
《中国妇幼健康研究》
2007年第4期341-343,共3页
Chinese Journal of Woman and Child Health Research
关键词
0.5%利多卡因
阴道分娩
会阴切开
麻醉
镇痛
0.5 % of lidocaine
vaginal delivery
lateral episiotomy
anesthesia
analgesia
