摘要
目的:探讨持续硬膜外麻醉应用于无痛分娩中对产程的影响及护理策略。方法:选取2018年6月-2019年6月医院收治的100例产妇作为研究对象,随机分为观察组与对照组,各50例。观察组给予持续硬膜外麻醉结合护理干预,对照组未采取任何分娩镇痛措施。对比两组产程时间、并发症发生率及镇痛效果。结果:观察组第一产程、第二产程、总产程时间均明显短于对照组,差异均有统计学意义(t=5.423、13.640、5.869,P=0.000、0.000、0.000)。观察组并发症发生率明显低于对照组,差异有统计学意义(χ~2=5.320,P=0.021)。观察组0级疼痛显著多于对照组,1、2、3级疼痛显著少于对照组,差异均有统计学意义(χ~2=8.700,P=0.003)。结论:在产妇无痛分娩中应用持续硬膜外麻醉结合护理干预的镇痛效果较好,可明显缩短产程时间,改善母婴结局,值得在临床中应用。
Objective: To investigate the effects of continuous epidural anesthesia on labor in painless delivery and nursing strategies. Method: A total of 100 parturient women who were admitted to the hospital from June 2018 to June 2019 were selected as subjects. They were randomly divided into the observation group and the control group, 50 cases in each group. The observation group was given continuous epidural anesthesia combined with nursing intervention, and the control group did not take any measures of labor analgesia. The duration of labor, incidence of complications and analgesic effect were compared between the two groups. Result: The first stage of labor, the second stage of labor, and the total stage of labor in the observation group were significantly shorter than those of the control group, and the differences were statistically significant(t=5.423, 13.640, 5.869, P=0.000, 0.000, 0.000). The incidence of complications in the observation was significantly lower than that of the control group, and the difference was statistically significant( χ~2=5.320, P=0.021). In the observation group, grade 0 pain was significantly more than that of the control group, and grade 1, 2 and 3 pain were significantly less than those of the control group, and the differences were statistically significant(χ~2=8.700, P=0.003). Conclusion: The use of continuous epidural anesthesia combined with nursing intervention in the painless delivery of parturient women has a better analgesic effect, which can significantly shorten the duration of labor and improve the outcome of maternal and infant, which is worthy of clinical application.
作者
林洁娜
王晓芬
林佳
LIN Jiena;WANG Xiaofen;LIN Jia(Jieyang Ciyun Hospital,Jieyang 522000,China)
出处
《中外医学研究》
2020年第4期162-164,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
持续硬膜外麻醉
无痛分娩
产程
镇痛效果
护理策略
Continuous epidural anesthesia
Painless delivery
Labor
Analgesic effect
Nursing strategies
