Effect of programmed intermittent epidural bolus and continuous epidural infusion in maternal labor analgesia and its effect on neonatal blood gas indicators
Objective To explore the effect of programmed intermittent epidural bolus(PIEB)and contin-uous epidural infusion(CEI)in maternal labor analgesia and its effect on neonatal blood gas indicators.Methods A retrospective analysis was conducted on the clinical data of 108 parturients who underwent painless delivery at Taizhou Hospital in Zhejiang from June 2019 to December 2020.They were divided into a control group(54 cas-es)and an observation group based(54 cases)according to different analgesic modes.The control group received CEI mode analgesia,while the observation group received PIEB mode analgesia.The pain levels[visual analog scale(VAS)],stress indicators[aldosterone(ALD),norepinephrine(NE)],labor process time,and neonatal blood gas parameters[pH,partial pressure of oxygen(PO2),partial pressure of carbon dioxide(PCO2),and blood lactate(LAC)]were compared at different time points for the two groups.Results The VAS scores in the observation group were significantly lower than those in the control group at time points T1,T2,and T3(P＜0.05).At the time of fetal delivery,the levels of ALD and NE in the observation group were significantly lower than those in the con-trol group(P＜0.05).The first stage,second stage,third stage,and total duration of labor in the observation group were all significantly shorter compared to the control group(P＜0.05).There were no statistically significant differ-ences in neonatal pH,PO2,PCO2,and LAC levels between the two groups(P＞0.05).Conclusion The applica-tion of PIEB analgesia mode in postpartum analgesia can more effectively reduce the degree of pain and stress in-dicators,while also shortening the delivery process without any adverse effects on newborns,which is worthy of clinical application.
万方数据
维普
