摘要
目的探讨硬膜外导管螺旋式固定在分娩镇痛中的应用效果。方法选取2019年3~9月江西省妇幼保健院经阴道分娩且自愿实施分娩镇痛的200例足月(孕龄≥37周)初产妇作为研究对象,采用随机数字表法将其分为S组与L组,每组各100例。S组产妇采用螺旋式方法固定硬膜外导管(于穿刺点处将硬膜外导管螺旋式折叠2周)并将导管接头紧贴皮肤延伸至颈部,L组产妇采用直线式方法固定硬膜外导管,将导管接头紧贴皮肤延伸至颈部。比较两组产妇硬膜外导管完全脱出硬膜外腔例数,分娩镇痛起始及结束后体内硬膜外导管留置长度,产妇镇痛前、镇痛后第一产程及第二产程疼痛最剧烈时视觉模拟量表(VAS)评分。结果两组产妇硬膜外导管完全脱出硬膜外腔例数比较,差异无统计学意义(P>0.05)。分娩镇痛结束后S组产妇体内硬膜外导管留置长度大于L组,差异有统计学意义(P<0.05)。两组产妇镇痛前、镇痛后第一产程及第二产程疼痛最剧烈时VAS评分比较,差异无统计学意义(P>0.05)。结论螺旋式固定硬膜外导管可以减少硬膜外腔导管的脱出长度,维持硬膜外分娩镇痛效果。
Objective To incestigate the application of epidural catheter spiral fixation in labor analgesia.Methods A total of 200 parturients who vaginal delivery and voluntary implementation of labor analgesia(gestational age≥37 weeks)were selected as the study objects and divided into the S group and the L group according to random number table method,with 100 cases in each group.In group S,the epidural catheter was fixed in a spiral manner(the epidural catheter was folded in a spiral manner at the puncture site for two circles)and the catheter joint was extended to the neck by sticking to the skin,while in group L,the epidural catheter was fixed in a straight manner and the catheter joint was extended to the neck by sticking to the skin.The cases of complete epidural catheter prolusion,the length of indwelling epidural catheter in vivo at the beginning and end of labor analgesia,and the visual analog scale(VAS)scores at the most severe stage of labor before and after labor analgesia were compared between the two groups.Results There was no statistically significant difference in the cases of epidural catheter completely proluding the epidural space between the two groups(P>0.05).After labor analgesia,the indwelling length of epidural catheter in group S was greater than that in group L,and the difference was statistically significant(P<0.05).There were no significant differences in the VAS scores before and after analgesia in the first stage of labor and the second stage of labor(P>0.05).Conclusion Spiral fixation of epidural catheterization can reduce the length of epidural catheter prolapse and maintain the analgesic effect of epidural labor.
作者
李欢欢
韩婧
王杰洋
宗园
LI Huan-huan;HAN Jing;WANG Jie-yang;ZONG Yuan(Department of Anesthesiology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China;Central Operating Room,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
CAS
2021年第7期123-125,共3页
China Modern Medicine
