医学需要和计划生育服务对象的终止妊娠镇痛技术应用_临床医学论文.docVIP

医学需要和计划生育服务对象的终止妊娠镇痛技术应用_临床医学论文 医学需要和计划生育服务对象的终止妊娠镇痛技术应用_临床医学论文 【摘要】 目的 探讨蛛网膜下腔-硬膜外联合阻滞麻醉对相关需引产孕妇的临床镇痛效果，减轻因医学需要引产孕妇的精神和生理痛苦，缓解计划生育服务工作的压力。但应坚定不移地遵循“控制人口数量，提高人口素质”的计划生育政策，严格甄别和审查应用对象，坚决抵制和杜绝非医学需要和非计划生育服务对象的终止妊娠。方法 选择10例无禁忌指征，因医学需要而自愿同意进行镇痛终止妊娠的计划生育服务对象，主要为中期妊娠孕妇为观察组，同期选择10例自愿同意进行传统中期妊娠引产术的计划生育服务对象为对照组。对两组的疼痛评分、产程时间等作比较，分析对比两组的临床效果。结果 发现两组的疼痛评分，观察组较对照组存在显著差异，而两组的产程、产程生理变化、宫缩强度、宫缩持续时间、间歇时间、出血量的比较则无明显差异。结论 表明观察组镇痛效果显著，把因医学需要和计划生育服务对象而需终止妊娠的中期妊娠孕妇的精神和生理创伤减至最低，缓解了计划生育服务工作的压力，提高了人口素质和社会效益，充分体现了“以病人为中心，人性化服务”的宗旨。 【关键词】 医学需要;计划生育服务对象;终止妊娠;镇痛技术;腰-硬联合穿刺;羊膜腔穿刺;疼痛评分 　　[Abstract] Objective Due to medical need, such as birth defects and unplanned pregnancy to terminate the pregnancy trimester pregnant women, they had dual mental and physical pain. The project was to study clinically relevant analgesic effect for spinal - epidural anesthesia on the induction of labor in pregnant women,reduce the mental and physical suffering need on pregnant women for medical induction of labor, alleviate the pressure of family planning services. But should firmly follow the “population control, and improve population quality”，the family planning policy, screening and review the application object, resolutely resist and eliminate non-medical need and non-family planning pregnancy.Methods Choose 10 taboos, without referring to the medical needs of the voluntary termination of pregnancy agrees to ease the family planning service, for the observation group were pregnant women in pregnancy， selected 10 voluntarily agreed to the traditional surgery trimester abortion as the controls. Compared pain scores in both groups, labor and time for comparison and the effect.Results Pain scores was different,but labor, labor physiological changes, contraction strength, contraction duration, interval time, blood loss was not different.Conclusion Minimize the mental and physical trauma in termination of pregnancy with medical needs and family planning services , alleviate the pressure of family planning services,i