不同麻醉方式在分娩镇痛中的应用效果
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摘要
目的探索不同麻醉方式在分娩镇痛中的应用效果。方法将医院产科收治的324例产妇按不同麻醉方式分为静脉麻醉组(142例,静脉麻醉)与椎管内麻醉组(182例,椎管内麻醉)。比较两组产妇的麻醉效果。结果静脉麻醉组产妇的NRS评分、镇痛起效时间、维持时间、泌乳素水平、产后出血、腰背痛发生率及Bromage评分均优于椎管内麻醉组(P<0.05)。静脉麻醉组新生儿心动过缓发生率均低于椎管内麻醉组,NACS评分高于椎管内麻醉组(P<0.05)。结论静脉麻醉在产妇分娩镇痛中的应用效果优于椎管内麻醉,能缓解疼痛,改善母婴结局,值得推广。
Objective To explore the application effect of different anesthesia methods in labor analgesia. Methods Atotal of 324 parturients admitted to obstetrics department in our hospital were divided into intravenous anesthesia group(142 cases, intravenous anesthesia) and intraspinal anesthesia group(182 cases, intraspinal anesthesia) according to thedifferent anesthesia methods. The anesthesia effects of the two groups were compared. Results The NRS score ofparturients, the onset time and maintenance time of analgesia, level of prolactin, the incidences of postpartum hemorrhageand low back pain and Bromage score in the intravenous anesthesia group were better than those in the intraspinalanesthesia group(P<0.05). The incidence of neonatal bradycardia in the intravenous anesthesia group was lower than thatin the intraspinal anesthesia group, and the NACS score was higher than that in the intraspinal anesthesia group( P<0.05).Conclusion Intravenous anesthesia is superior to intraspinal anesthesia in the analgesia of parturient labor. It can relievepain and improve maternal and infant outcomes, which is worth popularizing.
Objective To explore the application effect of different anesthesia methods in labor analgesia. Methods Atotal of 324 parturients admitted to obstetrics department in our hospital were divided into intravenous anesthesia group(142 cases, intravenous anesthesia) and intraspinal anesthesia group(182 cases, intraspinal anesthesia) according to thedifferent anesthesia methods. The anesthesia effects of the two groups were compared. Results The NRS score ofparturients, the onset time and maintenance time of analgesia, level of prolactin, the incidences of postpartum hemorrhageand low back pain and Bromage score in the intravenous anesthesia group were better than those in the intraspinalanesthesia group(P<0.05). The incidence of neonatal bradycardia in the intravenous anesthesia group was lower than thatin the intraspinal anesthesia group, and the NACS score was higher than that in the intraspinal anesthesia group( P<0.05).Conclusion Intravenous anesthesia is superior to intraspinal anesthesia in the analgesia of parturient labor. It can relievepain and improve maternal and infant outcomes, which is worth popularizing.
引文
[1]王莉.腰硬联合麻醉和产妇自控镇痛分娩的观察及护理212例[J]中国社区医师:医学专业,2010,12(31):186.
[2]李媚娟,徐琼,李妹燕.分娩疼痛机制与常用分娩镇痛方法[J].国际妇产科学杂志,2018,45(2):125-129.
[3]周菲.相同剂量3%盐酸氯普鲁卡因与2%盐酸利多卡因用于剖宫产手术麻醉效果的比较[J].甘肃医药,2014,33(1):11-14.
[4]孙建玲,张宝林,沈卫红.剖宫产术后自控镇痛的观察和护理[J].中国社区医师:医学专业,2011,13(1):168-169.
[5]高敏.剖腹产患者椎管内麻醉正中穿刺与侧入穿刺术后应激状态和腰痛发生情况分析[J].世界最新医学信息文摘,2018,18(15):88-89.
[6]杨云萍.瑞芬太尼静脉麻醉的临床效果及安全性分析[J].医学理论与实践,2014,27(20):2736-2737.
[7]周毅峦.椎管内麻醉在产科手术的应用[J].心理医生,2015,21(23)119-120.
[8]姚娟,孙建良.椎管内麻醉后腰背痛的预防与处理[J].国际麻醉学与复苏杂志,2013,34(7):651-654.
[2]李媚娟,徐琼,李妹燕.分娩疼痛机制与常用分娩镇痛方法[J].国际妇产科学杂志,2018,45(2):125-129.
[3]周菲.相同剂量3%盐酸氯普鲁卡因与2%盐酸利多卡因用于剖宫产手术麻醉效果的比较[J].甘肃医药,2014,33(1):11-14.
[4]孙建玲,张宝林,沈卫红.剖宫产术后自控镇痛的观察和护理[J].中国社区医师:医学专业,2011,13(1):168-169.
[5]高敏.剖腹产患者椎管内麻醉正中穿刺与侧入穿刺术后应激状态和腰痛发生情况分析[J].世界最新医学信息文摘,2018,18(15):88-89.
[6]杨云萍.瑞芬太尼静脉麻醉的临床效果及安全性分析[J].医学理论与实践,2014,27(20):2736-2737.
[7]周毅峦.椎管内麻醉在产科手术的应用[J].心理医生,2015,21(23)119-120.
[8]姚娟,孙建良.椎管内麻醉后腰背痛的预防与处理[J].国际麻醉学与复苏杂志,2013,34(7):651-654.