摘要
目的:探讨程控硬膜外间歇脉冲输注与持续背景输注在初产妇分娩镇痛中的应用。方法:选取2018年4月-2019年4月本院收治的2000例产妇为研究对象,随机数字表法分为对照组和研究组,各1000例。对照组产妇分娩镇痛中应用持续背景输注,研究组应用程控硬膜外间歇脉冲输注。比较两组VAS评分、产程时间及麻醉药剂用量,观察两组不良反应发生情况。结果:两组T_(0)、T_(1)、T_(2)、T_(3)时间段VAS评分比较,差异均无统计学意义(P>0.05);但T_(4)、T_(5)、T_(6)时间段研究组VAS评分均显著低于对照组,差异均有统计学意义(P<0.05)。两组第一产程、第二产程、第三产程的时间比较,差异均无统计学意义(P>0.05);研究组盐酸罗哌卡因及舒芬太尼的用量均低于对照组,差异均有统计学意义(P<0.05)。研究组产妇恶心呕吐、产时发热及皮肤瘙痒不良反应的发生率均低于对照组,差异有统计学意义(P<0.05)。研究组产妇的总满意率高于对照组,差异均有统计学意义(P<0.05)。结论:在初产妇分娩镇痛的过程当中,实施程控硬膜外间歇脉冲输注的效果理想,能够有效降低产妇镇痛2 h及以后时间段的痛疼程度,从而降低麻醉药剂的使用量及不良反应,提高了产妇的满意度,临床上应当进一步推广应用。
Objective:To explore the application of programmed epidural intermittent pulse infusion and continuous background infusion in labor analgesia of primipara.Method:A total of 2000 pregnant women admitted to our hospital from April 2018 to April 2019 were selected as the study subjects,they were divided into control group and study group by random number table method,1000 cases in each group.Continuous background infusion was used for labor analgesia in the control group,and programmed epidural intermittent pulse infusion was used in the study group.VAS score,labor time and dosage of anesthetic agents were compared between the two groups,the occurrence of adverse reactions in the two groups was observed.Result:Comparison of VAS scores in T_(0),T_(1),T_(2) and T_(3) periods between the two groups,the differences were not statistically significant(P>0.05).However,VAS score of the study group were significantly lower than those of the control group at T_(4),T_(5) and T_(6),the differences were statistically significant(P<0.05).There were no significant differences in the time of the first,second and third stages of labor between the two groups(P>0.05).The dosage of Ropivacaine Hydrochloride and Sufentanyl in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of nausea and vomiting,perinatal fever and skin pruritus in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction rate was higher in the study group than in the control group,and the difference was statistically significant(P<0.05).Conclusion:In the process of childbirth analgesia for first-time mothers,the implementation of program-controlled intermittent epidural pulse infusion has an ideal effect,which can effectively reduce the pain degree of pain for 2 h and the subsequent period of time,thus reducing the use of anesthetic agents and adverse reactions,and improving the satisfaction of puerpera.Therefore
作者
高锦文
GAO Jinwen(Jiangmen City Maternal and Child Health Hospital,Jiangmen 529000,China)
出处
《中国医学创新》
CAS
2021年第1期50-54,共5页
Medical Innovation of China
关键词
程控硬膜外间歇脉冲输注
持续背景输注
初产妇
分娩镇痛
Programmed epidural intermittent pulse infusion
Continuous background infusion
Primipara
Labor analgesia
