中期妊娠引产硬膜外自控镇痛

Clinical study of PCEA on the termination of pregnancy at the middle period of pregnancy

目的 研究硬膜外自控镇痛 (PCEA)在中期妊娠引产中的镇痛效果及对产程、孕妇的影响。 方法 将 10 2例孕妇随机分为观察组和对照组。对照组除不给 PCEA外 ,其它产科处理措施与观察组相同。观察比较 2组的镇痛效果、产程时间、产后出血量。 结果 观察组的 Mulleetr评分明显低于对照组 ,产程时间短于对照组 ,差异有显著性 (P<0 .0 5 )。 结论 PCEA用于引产镇痛产程时间短 ,对孕妇无不良影响 ,是一种理想的引产镇痛方法 ,值得临床推广应用。

Objective In this paper,we have conducted a research of the antalgic effect of PECA on terminating pregnancy at the mid-period of pregnancy and its related infulence on delivery process and the pregnant woman. Methods 102 pregnant women were randomly classified into two groups:the observational group and the control group.The control group was given the same treatment as that in the observational group except for using PCEA.The antalgic efficacy,delivery process and the quantity of postpartum hemorrhage were recorded and compared. Results The scores of Mulleetr of the observational group were obviously lower than that of the control group.The delivery process of the observational group were significantly shorter than that of the control group (P<0.05). Conclusion The delivery process of the termination of pregnancy administered PCEA treatment is comparatively shorter,and no negative effect of the treatment has been observed.PCEA is an ideal treatment for terminating pregnancy at the mid-period of pregnancy and is worthy to be popularized.