腰硬联合分娩镇痛产妇认知在提高镇痛效果中的应用.docVIP

腰硬联合分娩镇痛产妇认知在提高镇痛效果中的应用 　　【摘要】 目的：探讨产妇对腰硬联合分娩镇痛认知对提高镇痛效果的作用。方法：由高年资麻醉科医师对孕妇及家属进行产痛和分娩镇痛常识授课，发放资料，提供咨询等方法宣传腰硬联合分娩镇痛可靠性、安全性和在减少剖宫产提高自然分娩率中的作用。临产时选择80例自愿接受分娩镇痛的产妇为研究对象；另外80例未接受宣教要求分娩镇痛的产妇作对照组，有规律宫缩或宫口开至2 cm时，L3～4作穿刺点，蛛网膜下腔注入罗哌卡因2 mg+芬太尼20 ?g，硬膜外置管后0.125%罗哌卡因+0.000 16%芬太尼注入首次剂量5 mL，接电子镇痛泵，持续5 mL/h，PCA 5 mL，锁定时间10 min，宫口开全停药。统计两组视觉模拟评分（VAS）及分娩方式。结果：研究组产程VAS评分显著低于对照组（P0.05）。结论：接受分娩镇痛宣教的产妇提高认知能提高腰硬联合分娩镇痛效果。 　　【关键词】 腰硬联合； 分娩镇痛； 认知； 镇痛效果 　　Application of Analgesic Effect Enhancing of Spinal-Epidural Anesthesia Combined Labor Analgesia Cognition in Maternal/LIN Li-rong，WU Yao-hui，CHEN Da-he.//Medical Innovation of China，2015，12（15）：105-107 　　【Abstract】 Objective：To investigate the analgesic effect enhancing of spinal-epidural anesthesia combined labor analgesia cognition in maternal.Method：The pregnant women and their families were taught by senior anesthesiologist，publicity material released and consulting provided for labor pain，analgesia knowledge，reliability and safety of spinal-epidural anesthesia combined labor analgesia，the role of reducing cesarean and improving natural delivery rate.80 maternal who voluntarily accepted labor analgesia as the study object，the other 80 labor analgesia maternal who didn’t accept propaganda education as the control group.When the uterine contracted regularly or uterine mouth opened to 2 cm，L3-4 as the puncture point，subarachnoid injection of Ropivacaine 2 mg Fentanyl 20 ?g.After epidural cannulated，injected for the first dose 5 mL of 0.125% Ropivacain 0.000 16% Fentanyl，connected with electronic analgesia pump，continued 5 mL/h， PCA 5 mL，locked time 10 minutes，drug stop when the uterine mouth whole opened.The visual analogue scale （VAS）and labor mode were analyzed by statistical methods in two groups.Result：The VAS of labor score in the study group was significantly lower than the control group（P0.05）.Conclusion：The maternal who accept propaganda education can enhance the analgesic effect of epidural anesthesia combined labor an