论文部分内容阅读
目的:探讨硬膜外自控镇痛泵(PCEA)对分娩镇痛及分娩结局的影响。方法:随机采取2009年6月～2011年6月在该院住院同时行PCEA分娩的孕妇206例作为研究对象,对照组206未采用任何止痛方法顺其自然阴道试产,对比两组孕妇的分娩结局、镇痛效果。结果:研究组镇痛效果方面明显优于对照组,差异有统计学意义(P<0.01);研究组宫缩乏力发生率为37.86%,明显高于对照组24.27%,差异有统计学意义(P<0.01),两组的剖宫产率、胎儿窘迫、新生儿窒息、产后出血量、产后尿潴留发生率差异无统计学意义(P>0.05),PCEA主要不良反应是继发性宫缩乏力,研究组78例,而对照组50例。结论:采用PCEA进行分娩镇痛有利于孕妇阴道试产,且镇痛效果明显,对分娩结局无不良影响。
Objective: To investigate the effect of epidural controlled analgesia pump (PCEA) on labor analgesia and delivery outcome. Methods: Totally 206 pregnant women who were hospitalized with PCEA at the same time from June 2009 to June 2011 were selected as the study subjects. The control group 206 did not use any analgesic method along with natural vaginal trial. Contrast the delivery of the two groups of pregnant women Outcome, analgesic effect. Results: The study group analgesic effect was significantly better than the control group, the difference was statistically significant (P <0.01); study group uterine inertia incidence was 37.86%, significantly higher than the control group 24.27%, the difference was statistically significant ( P <0.01). There was no significant difference in the incidence of cesarean section, fetal distress, neonatal asphyxia, postpartum hemorrhage and postpartum urinary retention between the two groups (P> 0.05). The main side effects of PCEA were secondary contractions Weakness, the study group 78 cases, while the control group 50 cases. Conclusion: PCEA analgesia is conducive to vaginal delivery of pregnant women, analgesic effect and obvious, no adverse effects on delivery outcomes.