摘要
目的探讨脉冲式硬膜外给药与持续背景输注用于无痛分娩的对比。方法随机选择该院100例2018年1—6月无痛分娩产妇。随机分组,持续背景组采取持续背景输注治疗,脉冲式硬膜外组则采取脉冲式硬膜外给药治疗。比较效果。结果脉冲式硬膜外组疗效100.00%高于持续背景组的84.00%(χ^2=7.834,P<0.05)。脉冲式硬膜外组镇痛后1 h和镇痛后3 h的视觉模拟疼痛程度均低于持续背景组(P<0.05)。脉冲式硬膜外组新生儿的Apgar评分是﹙9.11±1.22﹚分,而持续背景组新生儿的Apgar评分是﹙8.54±1.12﹚分。脉冲式硬膜外组催产素使用的人数少于持续背景组(χ^2=693,P<0.05),其中,持续背景组有14例使用催产素,而脉冲式硬膜外组有2例使用催产素。结论脉冲式硬膜外给药治疗无痛分娩效果好,可有效减轻分娩疼痛,缩短产程和减少催产素的使用,改善新生儿的预后,减少产后出血。
Objective To investigate the comparison between pulsed epidural administration and continuous background infusion for painless delivery.Methods 100 cases of the hospital were randomly selected from January to June 1818 for painless delivery.Continuous background group was treated with continuous background infusion,and pulsed epidural group was treated with pulsed epidural.Then the results were Compared.Results The efficacy of the pulsed epidural group was 100.00%higher than that of the continuous background group 84.00%(χ^2=7.834,P<0.05).The visual simulated pain level one hour after analgesia and three hours after analgesia in the pulsed epidural group was lower than that in the continuous background group(P<0.05)The Apgar score for neonates in the pulsed epidural group was(9.11±1.22)points,while the Apgar score for neonates in the continuous background group was(﹙8.54±1.12)points.The number of oxytocin used in the pulsed epidural group was less than that in the continuous background group(χ^2=693,P<0.05),of which 14 patients in the continuous background group used oxytocin,while 2 patients in the pulsed epidural group used oxytocin.Conclusion Pulsed epidural administration has a good effect on painless delivery,which can effectively reduce labor pain,shorten the labor process,reduce the use of oxytocin,improve the prognosis of newborns and reduce postpartum hemorrhage.
作者
柏发红
BAI Fa-hong(Department of Anesthesiology,the Third Hospital of Zhangzhou,Zhangzhou,Fujian Province,363000,China)
出处
《中外医疗》
2019年第34期80-82,共3页
China & Foreign Medical Treatment
关键词
脉冲式硬膜外给药
持续背景输注
无痛分娩
对比
Pulsed epidural Administration
Continuous background infusion
Painless delivery
Comparison
