摘要
目的评估精神障碍产妇自主分娩中应用腰硬联合自控电子泵麻醉的临床效果。方法选择30例精神障碍产妇,采用随机数字表法分为对照组与研究组,每组15例。研究组采用腰硬联合自控电子泵麻醉进行分娩镇痛,对照组产程中不使用任何镇痛药物。比较两组产妇镇痛效果、产程时间、术中出血量、新生儿窒息情况、依从性评分、剖宫产率、分娩前后简明精神病评定量表(BPRS)评分。结果研究组产妇视觉模拟评分法(VAS)、Ramsay评分明显低于对照组,疼痛时按压自控键占比少于对照组,差异具有统计学意义(P<0.05)。两组产妇第一产程、第二产程、总产程时间比较,差异无统计学意义(P>0.05)。研究组术中出血量明显少于对照组,依从性评分高于对照组,差异具有统计学意义(P<0.05)。两组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。研究组剖宫产率为6.67%,明显低于对照组的46.67%,差异有统计学意义(P<0.05)。分娩前,两组BPRS评分比较,差异无统计学意义(P>0.05);分娩后,研究组BPRS评分明显低于对照组,差异具有统计学意义(P<0.05)。结论精神障碍产妇自主分娩中应用腰硬联合自控电子泵麻醉效果显著,可以有效改善疼痛情况,提升依从性,降低剖宫产率,值得临床推广与应用。
Objective To evaluate the clinical effect of lumbar epidural combined controlled electronic pump anesthesia in spontaneous delivery of mentally handicapped parturiens.Methods 30 cases of mental disorder parturients were divided into control group and study group by random number table method,15 cases in each group.The study group was administered with lumbar epidural combined controlled electronic pump anesthesia for labor analgesia,while the control group was not given any analgesic drugs during labor.The analgesic eff ect,labor duration,intraoperative blood loss,neonatal asphyxia,compliance score,cesarean section rate,and BPRS scores before and after delivery were compared between the two groups.Results Visual analogue scale(VAS)and Ramsay score in the study group were signifi cantly lower than those in the control group,and the proportion of pressing the automatic control button in pain was less than that in the control group,with statistical signifi cance(P<0.05).There was no signifi cant diff erence in the fi rst stage of labor,the second stage of labor and the total time of labor between the two groups(P>0.05).The intraoperative blood loss in the study group was signifi cantly lower than that in the control group,and the compliance score was higher than that in the control group,with statistical signifi cance(P<0.05).There was no signifi cant diff erence in Apgar score between the two groups(P>0.05).The cesarean section rate of the study group was 6.67%,which was signifi cantly lower than that of the control group(46.67%),and the diff erence was statistically signifi cant(P<0.05).Before delivery,there was no signifi cant diff erence in BPRS scores between the two groups(P>0.05).After delivery,the BPRS score of the study group was signifi cantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of lumbar and epidural combined controlled electronic pump anesthesia in spontaneous delivery of mentally disabled women has a signifi cant eff ec
作者
王云龙
赖礼达
池妍
吴凯新
廖振慧
Wang Yunlong;Lai Lida;Chi Yan;Wu Kaixin;Liao Zhenhui(Department of Anesthesiology,Meizhou Third People's Hospital,Meizhou 514000,Guangdong,China)
出处
《实用妇科内分泌电子杂志》
2021年第1期4-6,共3页
Electronic Journal of Practical Gynecological Endocrinology
基金
梅州市科技计划项目(编号191213102051079)。
关键词
精神障碍
自主分娩
腰硬麻醉
自控电子泵麻醉
Mental disorders
Autonomous delivery
Spinal epidural anesthesia
Self-controlled electronic pump anesthesia
