摘要
目的探究不同硬膜外麻醉给药方案对足月初产妇围手术期的影响。方法将2017年1月至2018年1月在江苏省昆山市第一人民医院妊娠分娩的40例足月初产妇作为研究对象,对其临床资料进行回顾性分析。按照给药方案将患者分为观察组和对照组,每组各20例。对照组:镇痛开始15 min后给予持续输注麻醉,10 ml/h;观察组:镇痛开始75 min后,每1 h注入10 ml,使视觉模拟评分(VAS)降至3分,分娩后1 h停止给药。比较两组产妇的产间发热、疼痛程度及麻醉药物用量情况。结果两组产妇产间发热发生率比较(25. 0%vs. 20. 0%),差异无统计学意义(P>0. 05)。两组产妇镇痛后不同时间点VAS评分均显著低于镇痛前,差异有统计学意义(P <0. 05),且观察组产妇镇痛后3 h、4 h VAS评分均明显低于对照组,差异具有统计学意义(P <0. 05)。观察组产妇罗哌卡因、舒芬太尼用药量明显少于对照组,差异有统计学意义(P <0. 05)。结论硬膜外规律间断给药麻醉,不会对产间产妇体温产生不利影响,且能够缓解产妇疼痛,减少麻醉药物用量,值得临床推广应用。
Objective To explore the effects of different epidural anesthetic regimens on fever, pain and dosage of narcotic drugs in primipara. Methods Forty puerperal parturients which were given birth in our hospital from January 2017 January 2018 were selected as the study objects, the clinical data were retrospectively analyzed, they were divided into two groups by random digital table method, 20 cases in each group, The control group were given continuous infusion anesthesia after 15 min analgesia and 10 ml/h; the observation group： after the onset of analgesia, 75 min, each 1 h were injected to 10 ml, and the visual analogue score （VAS） was reduced to 3 points, and 1 h after delivery was stopped, and the two groups of parturients had fever, pain degree and narcotic drugs. The amount of the dosage was evaluated synthetically. Results The difference of incidences of fever between the two groups was not significant （25.0% vs.20.0%, P 〉0.05）. The VAS scores at different time points of the two groups were significantly lower than before analgesia （ P 〈0.05）, and the 3 and 4 h VAS scores of the observation group were lower than the control group （ P 〈0.05）, and the difference were statistically significant. Compared with the control group, the observation group had fewer drugs for ropivacaine and sufentanil （ P 〈0.05）, and the difference between the two groups was statistically significant. Conclusion The intermittent administration of epidural anesthesia will not have an adverse effect on the body temperature of the parturient, and can relieve the pain of the parturient and reduce the dosage of narcotic drugs. It is worth popularizing.
作者
高伟星
张帆
吴立
王敏欢
GAO Wei-xing; ZHANG Fan; WU Li(Jiangsu kunshan the first people＇s hospital, Kunshan Jiangsu 215300, China)
出处
《临床和实验医学杂志》
2018年第21期2348-2350,共3页
Journal of Clinical and Experimental Medicine
关键词
足月初产妇
硬膜外麻醉
规律间断给药
围手术期
疼痛程度
发热
Full term primipara
Epidural anesthesia
Regular intermittent administration
Perioperative period
Pain degree
Fever
