摘要
目的比较硬膜外麻醉间歇脉冲泵注给药与持续机械泵注给药在无痛分娩中的效果.方法选取2019年6月—2020年6月在深圳市龙岗区妇幼保健院行硬膜外麻醉分娩镇痛的足月单胎初产妇120例,随机分为观察组61例和对照组59例.观察组采用硬膜外间歇脉冲给药,对照组采用持续机械泵注给药.观察并比较两组分娩过程中产妇疼痛情况、麻醉药追加量,以及新生儿Apgar评分和总产程、鼓膜体温变化情况、镇痛效果评分.结果观察组鼓膜体温上升幅度小于对照组、麻醉药追加量低于对照组、产妇镇痛效果满意度高于对照组,差异均有统计学意义(P<0.05);两组分娩过程中疼痛视觉模拟评分、总产程和新生儿Apgar评分,差异均无统计学意义(P>0.05).结论对于行无痛分娩的产妇,硬膜外间歇脉冲泵注给药与持续机械泵注相比,可减少麻醉药用量,对产妇的体温影响较小,可提高无痛分娩产妇镇痛效果.
Objective To compare the effect of epidural anesthesia intermittent pulse pump injection and continuous mechanical pump injection in painless labor.Methods A total of 120 full-term singleton primiparas who underwent epidural anesthesia labor analgesia in Longgang Maternal and Child Health Hospital were selected from June 2019 to June 2020.The patients were divided into observation group(61 cases)and control group(59 cases)according to different patterns of pump injection.The observation group was given epidural intermittent pulse and the control group was given continuous mechanical pump.The maternal pain,the additional amount of anesthetics,neonatal Apgar score,total labor process,tympanic membrane temperature change and analgesic effect score between the two groups were observed and compared.Results The increase of tympanic membrane temperature in the observation group was significantly less than that in the control group,the additional amount of anesthetics was significantly lower than that in the control group,and the maternal analgesia effect score in the observation group was significantly higher than that in the control group(P<0.05).There was no significant ditTerence in the visual analog score of labor pain,total labor process and neonatal Apgar score between the two groups(P>0.05).Conclusion Compared with continuous mechanical pump injection,epidural intermittent pulse pump injection can reduce the dosage of anesthetics,and has little effect on maternal temperature,and can improve the satisfaction of analgesia effect of painless childbirth.
作者
于泓湉
胡祥明
屈华
YU Hongtian;HU Xiangming;QU Hua(Department of Anesthesiology,Longgang Maternal and Child Health Hospital,Shenzhen 518172,Guangdong Province,China)
出处
《中国实用乡村医生杂志》
2021年第2期30-32,36,共4页
Chinese Practical Journal of Rural Doctor
关键词
无痛分娩
硬膜外麻醉
间歇脉冲泵注
持续机械泵注
效果
Painless Labor
Epidural Anesthesia
Intermittent Pulse Pump Injection
Continuous Mechanical Pump Injection
Effect
