健康大视野·医学分册2023,Issue(11) :141-142.DOI:10.3969/j.issn.1005-0019.2023.11.060

自控硬膜外(PCEA)分娩镇痛技术临床应用研究

Clinical application study of patient-controlled epidural analgesia (PCEA) for labor analgesia

李迎辉
健康大视野·医学分册2023,Issue(11) :141-142.DOI:10.3969/j.issn.1005-0019.2023.11.060

自控硬膜外(PCEA)分娩镇痛技术临床应用研究

Clinical application study of patient-controlled epidural analgesia (PCEA) for labor analgesia

李迎辉1
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作者信息

  • 1. 新疆阿勒泰地区人民医院麻醉科,新疆 阿勒泰 836500
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摘要

目的:分析自控硬膜外(PCEA)分娩镇痛在临床中的应用效果.方法:选择在我院进行分娩的产妇100例,随机分为观察组(n=50)和对照组(n=50).观察组产妇给予PCEA分娩镇痛,对照组产妇常规分娩镇痛干预.结果:两组产妇镇痛前的VAS评分均相当(P > 0.05);观察组产妇镇痛起效时、镇痛1h、镇痛2h时的VAS评分,均低于对照组(P < 0.05);观察组第一、第二和总产程时间,均短于对照组(P< 0.05);两组产妇的第三产程时间相当(P> 0.05);观察组产妇的自然分娩率(90.00%),显著

Abstract

Objective To analyze the clinical application effect of patient-controlled epidural analgesia (PCEA) for labor analgesia.Method: 100 postpartum women who underwent delivery in our hospital were into observation group (n=50) and control group (n=50).The observation group received PCEA delivery analgesia, while control group received routine delivery analgesia intervention.Result: The VAS scores of both groups of postpartum women before analgesia were comparable (P>0.05); In observation group,VAS scores were lower than control group at the onset of analgesia, 1 hour of analgesia, and 2 hours of the analgesia (P<0.05); The first, second, and total labor process time were shorter than control group (P<0.05); The third stage of labor time of the two groups of parturients was equivalent (P>0.05); The natural delivery rate of observation group (90.00%) was higher than control group (62.00%), (P<0.05); The 1-minute and 5-minute Apgar scores of the two groups of newborns were comparable (P>0.05). Conclusion: PCEA delivery analgesia can significantly reduce degree of labor pain during childbirth, thereby promoting the progress of labor, shortening duration of labor, and improving the natural delivery rate.It does not affect the safety of newborns and has high safety.

关键词

自控硬膜外镇痛技术/分娩镇痛/PCEA/疼痛程度/产程/分娩方式/Apgar评分

Key words

Self controlled epidural analgesia technology/Pain relief during childbirth/PCEA/Degree of pain/Labor process/Delivery method/Apgar rating

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基金项目

新疆阿勒泰地区科技计划项目()

出版年

2023
健康大视野·医学分册
中国保健协会

健康大视野·医学分册

ISSN:1005-0019
参考文献量9
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