摘要
目的观察硬脊膜穿破硬膜外阻滞技术(DPE)对初产妇分娩镇痛的效果。方法80例足月初产妇随机分为对照组和观察组,分别给予常规硬膜外阻滞镇痛或DPE镇痛。采用视觉模拟量表(VAS)、Bromage评分量表分别评估镇痛效果、下肢运动神经阻滞程度,比较两组镇痛起效时间、镇痛泵(PCA)按压次数及并发症情况。结果观察组分娩镇痛后30 min、60 min及宫口开全时VAS评分均低于对照组(P<0.05或0.01)。与对照组比较,观察组镇痛起效时间更短,PCA按压次数更少,Bromage评分更低(P<0.01)。结论DPE可有效减轻初产妇分娩疼痛及下肢运动神经阻滞程度,起效快,安全性好。
Objectiv To observe the effect of dural puncture epidural(DPE) technique on labor analgesia of primiparae.Methods Eighty primiparae were randomly treated with conventional epidural block(control group) or DPE(observation group) analgesia.The analgesia and lower extremity motor nerve block effects were respectively evaluated by VAS and Bromage scores.The onset time of analgesia,pressing times of patient-controlled analgesia(PCA),and complications were compared between two groups.Results Compared with control group,VAS scores at 30 min and 60 min after labor analgesia and at full cervical dilation,onset time of analgesia,pressing times of PCA,and Bromage score were lower in observation group(P<0.01 or 0.05).Conclusion DPE is rapid,effective and safe for labor analgesia of primiparae.
作者
柯劭
杨宗芝
李玉忠
张扬
KE Shao;YANG Zong-zhi;LI Yu-zhong;ZHANG Yang(Department of Anesthesiology,Heyuan Maternal and Child Health Hospital,Heyuan 517000,China)
出处
《广东医科大学学报》
2023年第5期565-567,共3页
Journal of Guangdong Medical University
