摘要
目的探讨硬膜外自控镇痛（PCEA）分娩镇痛对产痛、产程和新生儿的影响。方法将1200例产妇随机分为镇痛组和对照组，每组600例；镇痛组行舒芬太尼复合罗哌卡因连续硬膜外分娩镇痛，对照组常规分娩处理。观察记录两组产痛程度、产程时间、缩宫素使用率、产后出血量、剖宫产率以及新生儿情况。结果镇痛组镇痛后10min、30min、60min、宫口开全时产痛VAS评分分别为（43．1±11．2）、（33．2±13．7）、（13．6±6．7）、（10．3±4．1），较对照组f（82．9±18．5）、（83．7±18．1）、（84．3±18．7）、（80．3±17．3）]明显降低（P〈0．05）；镇痛组第一产程活跃期[（157．7±31．9）mini明显短于对照组[（197．74-35．2）min]（P〈0．05），第二、三产程两组差异无统计学意义（P〉0．05）；镇痛组剖宫产率（43％）明显低于对照组（53％），缩宫素使用率（61％）明显高于对照组（31％）（P〈0．05）；两组产妇产后出血、新生儿Apgar评分差异无统计学意义（P〉0．05）。结论PCEA分娩镇痛安全有效，能满足产妇的镇痛需要，对母罂均无不良影响。
Objective To explore the effects of patient-controlled epidural anesthesia （PCEA） on labor pain, birth process, and newborns. Methods 1200 puerperas were randomly divided into analgesia group and control group （ n = 600）. The analgesia group received PCEA with sufentanil and ropivacaine; the control group re- ceived conventional childbirth care. The degree of labor pain, duration of labor process, rate of oxytocin uses, post- partum hemorrhage volumn, rate of Cesarean section, and newborn states were noted. Results The degree of labor pain in analgesia group（VAS scores were 43.1 -＋ 11.2,33.2 ＋ 13.7,13.6 ＋ 6.7, and 10.3 ＋ 4.1, respectively after anal- gesia. ） was significantly lower than that in the control group （VAS scores were 82.9 -＋ 18.5,83.7 ＋ 18.1, and 80.3 ＋_ 17.3, respectively after analgesia） （P〈 0.05 ）. The active period of first stage of labor （ 157.7 ＋ 31.9）rain in analgesia group was evidently shorter than that in the control group （ P〈 0.05）. Rate of Cesarean section was significantly lower in analgesia group than in the control group（ 43% vs. 53%, P〈 0.05 ）. Rate of oxytocin uses was obviously greater in analgesia group than in control group （61% vs. 31%, P〈 0.05）. Postpartum hemorrhage volumn and Apgar score did not differ significantly between the two groups （P〉0.05）. Conclusions Patient-controlled epidural anesthesia is safe and effective in relieving labor pain. It can meet the needs for maternal analgesia and has no adverse effects on mothers and babies.
出处
《国际医药卫生导报》
2013年第3期297-299,共3页
International Medicine and Health Guidance News
基金
广东省科技计划项目（2009808071052）
关键词
PCEA
分娩镇痛
Patient-controlled epidural anesthesia
Labor analgesia
