摘要
目的 探讨电子脉冲泵不同给药速率硬膜外注射对初产妇分娩结局及体温的影响。方法 根据程控硬膜外间歇脉冲注入(PIEB)速率将164例产妇分为高速组(n=76)和低速组(n=88)。镇痛后8 h内每隔1 h记录两组产妇体温,统计发热人数。进行视觉模拟评分法(VAS)评分,记录分娩时间、分娩方式、最高感觉阻滞平面,恶心呕吐、低血压、呼吸抑制和发热等不良反应发生率,并统计新生儿的Apgar评分以及短期预后。结果 随着镇痛开始,两组产妇的体温均逐渐升高,发热人数逐渐增多,高速组产妇镇痛期间平均体温明显低于低速组,发热率也明显低于低速组。两组在VAS评分、感觉阻滞平面、产后的不良反应、分娩时间、分娩方式以及两组新生儿Apgar评分及结局情况方面的差异均无统计学意义。结论 与低速率PIEB分娩镇痛比较,高速率PIEB可降低镇痛期间的发热率,但是对于镇痛的效果、分娩结局、产后不良反应以及新生儿情况方面均无明显影响。
Objective To explore the effects of different drug delivery rates of the electronic pulse pump epidural injection on the delivery outcome and body temperature of primiparas. Methods The 164 parturients were divided into high-speed group(n=76) and low-speed group(n=88) according to the rate of programmed epidural pulse injection(PIEB).The general information and biochemical indicators of the two groups of patients were compared. Within 8 hours after analgesia, the body temperature of the two groups of lying-in women was recorded every 1 hour, and the number of people with fever was counted. The visual analogue scale(VAS) score was performed to record the time of delivery, delivery method, highest sensory block level, nausea and vomiting, hypotension, respiratory depression, fever and other adverse reactions, and statistics of the newborn’s Apgar score and short-term prognosis. Results With the onset of analgesia, the body temperature of the puerperae in both groups gradually increased, and the number of febrile patients gradually increased. The average body temperature of the high-speed group during analgesia was significantly lower than that of the low-speed group(P<0.05), and the fever rate was also significantly lower than that of the low-speed group(P<0.05). There were no significant differences in VAS score, sensory block level, postpartum adverse reactions, delivery time, delivery mode, and neonatal Apgar score and outcome between the two groups(P>0.05). Conclusion Compared with low-rate PIEB labor analgesia, high-rate PIEB can reduce the fever rate during analgesia, but has no significant effect on the analgesic effect, delivery outcome, postpartum adverse reactions, and neonatal conditions.
作者
余明峰
张雪丽
何清伟
张正辉
YU Mingfeng;ZHANG Xueli;HE Qingwei;ZHANG Zhenghui(Department of Anesthesiology,Ya’an People’s Hospital,Ya’an,Sichuan 625000,China;Ya’an Yucheng District People’s Hospital,Ya’an,Sichuan 625000,China)
出处
《中国优生与遗传杂志》
2022年第6期1050-1054,共5页
Chinese Journal of Birth Health & Heredity
关键词
分娩镇痛
硬膜外注射
给药速率
分娩结局
labor analgesia
epidural injection
dosing rate
outcome of childbirth
