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目的:观察自控连续硬膜外镇痛(PCEA)法用于分娩镇痛效果及对母婴的影响。方法:单胎足月临产初产妇随机分两组,Ⅰ组为镇痛组:110例自愿实施PCEA;Ⅱ组为对照组:同期110例未实施PCEA。观察两组产痛程度、产程时间、分娩方式、产后出血、催产素使用率及新生儿评分等。结果:镇痛组的镇痛效果佳,剖宫产率下降,第一产程明显缩短(P<0.05),第二、三产程、器械助产率、新生儿Apgar评分、出血量无差异,但镇痛组的催产素使用率明显高于对照组(P<0.05)。结论:PCEA是一项安全有效的分娩镇痛措施,值得推广。
Objective: To observe the effect of self-controlled continuous epidural analgesia (PCEA) on labor analgesia and its effects on mothers and infants. Methods: Single term full-term primipara was randomly divided into two groups, Ⅰ group was analgesic group: 110 cases were performed PCEA voluntarily; Ⅱ group was control group: 110 cases were not performed PCEA during the same period. The incidence of labor pain, labor duration, mode of delivery, postpartum hemorrhage, oxytocin use rate and neonatal score were observed. Results: The analgesic effect was good in the analgesic group, the cesarean section rate was decreased, the first stage of labor was significantly shortened (P <0.05), and the second and third stage of labor, equipment birth rate, neonatal Apgar score and bleeding volume were not different The oxytocin use rate in the analgesic group was significantly higher than that in the control group (P <0.05). Conclusion: PCEA is a safe and effective analgesia for labor and is worth promoting.