摘要
目的比较硬膜外腔分娩镇痛用于经产妇和初产妇的效果。方法选取徐州医科大学麻醉学院2018年11月至2019年2月成功实施硬膜外腔分娩镇痛的40例经产妇(经产妇组)和40例初产妇(初产妇组)。分娩镇痛实施时机:宫口扩张至2 cm^3 cm。两组产妇硬膜外腔注药后,连接电子输注泵。观察对比两组产妇镇痛前后VAS评分,第一产程与第二产程时间,产后2h出血量,新生儿1min与5min Apgar评分及血气分析。结果镇痛前,两组VAS评分差异无统计学意义(P>0.05);镇痛后两组第一产程与第二产程VAS评分均低于镇痛前差异具有统计学意义(P<0.05),且经产妇组第一、第二产程VAS评分与初产妇组差异无统计学意义(P>0.05);实施硬膜外腔分娩镇痛产妇与自然分娩产妇第一、第二产程时间差异无统计学意义(P>0.05);两组产妇产后2h出血量差异无统计学意义(P>0.05);两组新生儿1min、5min的Apgar评分、脐动脉血pH、PO 2、PCO 2差异无统计学意义(P>0.05)。结论与初产妇比较,硬膜外腔分娩镇痛用于经产妇,亦可明显降低痛感,不会造成产程延长,安全有效,值得临床推广。
Objective To compare the effects of epidural analgesia in multipara and primipara.Methods 40 cases of multipara and 40 cases of primipara performed epidural analgesia in the School of Anesthesia of Xuzhou Medical University from November 2018 to February 2019 were selected as the multipara group and primipara group respectively.Labor analgesia was performed when the cervix was expanded to 2 centimeters to 3 centimeters.After the injection into the maternal epidural space,the electronic infusion pump was connected.The VAS scores of the two groups before and after analgesia were compared.The first stage of labor and the second stage of labor,the amount of bleeding after 2 hours postpartum,the 1 min and 5 min Apgar scores of newborns and blood gas analysis was observed.Results Before analgesia,the difference was not statistically significant in VAS scores between the two groups(P>0.05).After analgesia,the VAS scores of the first stage and the second stage of labor were lower than those before analgesia,with statistically significant differences(P<0.05).The difference was not statistically significant in the first and second labor VAS scores between the two groups(P>0.05).The difference was not statistically significant in the length of the first and second stage of labor between epidural labor analgesia and natural delivery(P>0.05).The difference was not statistically significant in the amount of 2h postpartum hemorrhage between the two groups(P>0.05).The difference was not statistically significant in 1min and 5min Apgar score,umbilical arterial blood pH,PO 2 and PCO 2 between the two groups(P>0.05).Conclusions Compared with primipara,epidural labor analgesia is also suitable and safe for multipara,which can significantly reduce the pain without prolonged labor,and is worthy of clinical promotion.
作者
陈毓洁
刘功俭
程伟
赵华斌
CHEN Yujie;LIU Gongjian;CHENG Wei;ZHAO Huabin(School of Anesthesia,Xuzhou Medical University,Xuzhou 221004,Jiangsu,China;Department of Anesthesiology,Xuzhou Kowloon Maternity Hospital,Xuzhou 221005,Jiangsu,China;Department of Anesthesiology,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,Jiangsu,China)
出处
《中国性科学》
2019年第11期119-122,共4页
Chinese Journal of Human Sexuality
基金
国家自然科学基金资助项目
青年科学基金项目(81200858)
