目的 采用连续硬膜外分娩镇痛对孕产妇产程及分娩方式的影响。方法 选取2019年3月—2020年10月进行分娩的120例产妇作为主要研究对象,按随机数字表法的分组方式,将120例产妇分为对照组与观察组,每组各60例,对照组进行常规分娩,观察组对产妇实施连续硬膜外镇痛,分别对两组产妇的产程疼痛程度(VAS)、生命体征以及分娩前后的焦虑、抑郁程度进行比较。结果 分娩前,两组产妇的焦虑、抑郁评分差异无统计学意义(P>0.05);观察组产妇第一、第二、第三产程的VAS评分明显低于对照组,血压、心率、以及焦虑、抑郁评分明显低于对照组,脉氧饱和度明显高于对照组,差异具有统计学意义(P<0.05)。结论 在产妇分娩过程中,对产妇进行连续硬膜外镇痛,不仅能够降低产妇的疼痛感,还能稳定产妇的生命体征,有利于缓解产妇的不良心理状态,值得在临床中推广应用。
Objective To evaluate the effect of continuous epidural analgesia on delivery process and delivery methods of pregnant women. Methods A total of 120 parturients who gave birth from March 2019 to October 2020 were selected as study subjects. According to the random number table, they were divided into a control group and an observation group, with 60 cases in each group. The control group adopted routine delivery, and the observation group was given continuous epidural analgesia. The pain degree (VAS), vital signs, and anxiety and depression levels before and after delivery of the two groups were compared. Results Before delivery, the anxiety and depression scores of the two groups of parturients were not different (P>0.05). The VAS scores in the first, second, and third stages of labor of the observation group were significantly lower than those of the control group, so were the blood pressure, heart rate, and anxiety and depression scores, and the pulse oxygen saturation of the observation was significantly higher than that of the control group (P<0.05). Conclusion In the process of delivery, continuous epidural analgesia for the parturients can not only reduce pain, but also stabilize vital signs and help relieve mood. It is therefore worthy of clinical application.
[1] 剡淑霞,杨心茹,罗伟,等.硬膜外麻醉与经皮神经电刺激两种镇痛方法对分娩影响的Meta分析[J].国际妇产科学杂志,2018,45(4):28-34.
[2] 赵颖,鲍春燕.比较三种硬膜外麻醉给药方案对足月初产妇分娩镇痛及不良反应的影响[J].中国医师进修杂志,2020,43(4):321-325.
[3] 陆云波,丁炜炜.自由体位联合硬膜外麻醉镇痛对初产妇分娩结局及产程的影响[J].现代中西医结合杂志,2020,29(5):562-564,570.
[4] 陈涛,吴奕涵,敖保林,等.腰硬联合麻醉与硬膜外麻醉在剖宫产术后镇痛中的临床效果[J].中国妇幼保健,2018,33(5):1167-1170.
[5] 张广霞,张芳,张孝平,等.中药穴位贴敷联合硬膜外麻醉镇痛对瘢痕子宫再次妊娠经阴分娩产妇妊娠结局影响[J].陕西中医,2019,40(12):1725-1727,1744.
[6] 岑盛华,余颖,严潮阳.硬膜外腔给药途径患者自控镇痛联合硬膜外间歇脉冲输注麻醉对高龄产妇产程及炎症细胞因子水平的影响[J].中国妇幼保健,2020,35(10):51-53.
[7] 贾俊香,李冰,帅斐.两种硬膜外麻醉给药方案对足月初产妇分娩镇痛VAS评分、麻醉药物用量及不良反应的影响[J].中国妇幼保健,2019,34(5):1187-1189.
[8] 剡淑霞,杨心茹,罗伟,等.硬膜外麻醉与经皮神经电刺激两种镇痛方法对分娩影响的Meta分析[J].国际妇产科学杂志,2018,45(4):387-393.