摘要
目的探讨全程患者自控硬膜外镇痛（PCEA）对产程及分娩结局的影响。方法选择符合入选条件的足月初产妇120例，其中实施PCEA者（试验组）60例，常规措施助产者（对照组）60例，比较两组疼痛情况，第一、二产程、缩宫素使用情况、分娩方式、产后出血、新生儿Apgar评分、胎儿脐带静脉和动脉血气分析。结果两组第一产程、缩宫素使用率、分娩方式比较差异有统计学意义（P〈0．05）；两组第二产程、产后出血、新生儿Apgar评分、脐带动静脉血气pH值比较差异无统计学意义（P〉0．05）。结论全程PCEA用于分娩镇痛效果满意，加速了产程进展，降低了剖宫产率，对母婴均无明显不良影响。
Objective To explore the impact of throughout patient-controlled epidural analgesia（PCEA） on labor progress and delivery mode. Methods We enrolled 120 nulliparous women with term cephalic singleton pregnancies. They were divided into two groups, throughout analgesia group （n = 60） ：when they are in labor, we started analgesia and continued to the end of second stage of labor. While 60 nullipareus were selected to non-analgesia group as the control group. Data were collected about duration of the first, second stage of labor, oxytocin dosage, postpartum hemorrhage,outcome of delivery, neonatal Apgar scores, umbilical cord vein and artery blood gas analysis and the effect of epidural analgesia, etc. Results There wsa is significant difference in the duration of the first stage delivery, the utilization rates of oxytocin, delivery mode （P 〈 0. 05） ;and there was no remarkable differences in the second stage of labor process, postpartum hemorrhage, neonatal Apgar scores, umbilical cord vein and artery blood gas analysis （P 〉 0. 05 ） Conclusion The throughout patient-controlled epidural analgesia can shorten labor progress,cut down uterineincision delivery and reach satisfying analgesis effect, without commiting any impact on the outcome of delivery.
出处
《中国基层医药》
CAS
2009年第4期621-623,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
镇痛
病人控制
分娩过程
妊娠结局
Analgesia, patient-controlled
Labor, obstetric
Pregnancy outcome
