不同产程给药硬膜外分娩镇痛的效果分析.docVIP

不同产程给药硬膜外分娩镇痛的效果分析 ［ ］目的探讨不同产程给药硬膜外分娩镇 痛的效果。方法选择2012年4月?2013年4月于 本院分娩的144例足月初产妇作为研究对象，将其随 机分为实验组和对照组。实验组采用潜伏期硬膜外分 娩镇痛，对照组采用活跃期硬膜外分娩镇痛，比较两 组的满意度、VAS评分、产程进展、分娩方式、母婴 情况以及不良反应发生情况。结果实验组产妇满意 度优秀率高于对照组，潜伏期、VAS评分低于对照组， 差异有统计学意义(P0.05)。实验组器械助产率高于 对照组，差异有统计学意义(P ［关键词］潜伏期；活跃期；镇痛 ［ ］R714.3 ［ ］A ［ ］ 1674-4721 (2015) 05 (b) -0108-03 Effect analysis of epidural analgesia given medicine in different stage of labor HAN Yu-bol XU Yi-bing2 SUN Nan-nanl 1.Department of Anesthesiology, Weifang Municipal Hospital of Weifang District in Weifang City of Shandong Province, Weifang 261021，China； 2.Department of Obstetrics, Weifang Municipal Hospital of Weifang District in Weifang City of Shandong Province， Weifang 261021，China [Abstract] Objective To discuss the effect of epidural analgesia given medicine in different stage of labor. Methods 144 full term primiparae delivered in our hospital from April 2012 to April 2013 were chosen as study objects，and they were divided into experimental group and control group.Experimental group was given epidural analgesia during incubation period，while control group was epidural analgesia during active period.Satisfaction degree，VAS score，birth process， mode of delivery, mother and baby condition and adverse reaction between two groups was compared respectively. Results The excellent rate of satisfaction degree for delivery women in experimental group was higher than that of control group, VAS score during incubation period was lower than that of control group， and there was a statistical difference (P0.05) .Instrumental delivery rate of experimental group was higher than that of control group，and there was a statistical difference (P 选择 2012 年 4 月?2013年4月于本院分娩的144例足月初产妇作为 研宄对象，将其随机分为实验组和对照组。产妇年龄 均0.05），具有可比性。 1.2镇痛方法 实验组在潜伏期给药，即宫口开至1?2 cm时。 对照组在活跃期给药，即宫口开至3 cm时。建立上肢 静脉通道，取左侧位，穿刺点为L2?3椎间隙，行穿 朿1J，头侧方向置管4 cm，产妇取平卧位，5 ml舒芬太 尼（1 ug/ml）和盐酸罗哌卡因（0.1%）混合液硬膜 外注射，确认导管于硬膜外腔，5 min后再注射5 ml 上述混合液，连接PCA泵，PCA泵为100 ml盐酸罗哌 卡因（0.1%）和舒芬太尼（0.25 ug/ml）,锁定时间 15 min,背景剂量3ml/h，