自控硬膜外镇痛用于无痛分娩的临床观察

Clinical observation on effect of patient-controlled eqidural administration in the painless parturition.

目的:观察自控硬膜外镇痛用于分娩镇痛的临床效果及对产程、母婴的影响。方法:将100例初产妇分为2组各50例。观察组采用自控硬膜外镇痛方法,先注入1.5%利多卡因3ml作试验剂量,然后予0.125%罗哌卡因加芬太尼2μg/ml,5ml/h;对照组不采用镇痛措施而实施自然分娩。观察两组疼痛分级情况、产程时间、分娩方式、新生儿Apgar评分情况及产后出血量。结果:两组疼痛分级情况差异有统计学意义(P<0.05);观察组第一产程活跃期明显缩短(P<0.05);两组剖宫产率、产后平均出血量和新生儿Apgar评分比较差异无统计学意义(P>0.05)。结论:自控硬膜外镇痛用于分娩镇痛效果确切,不影响产程及新生儿。

Objective： To study the effects of patient controlled eqidural administration in labor painkilling and it＇s influence on labor course and mother and infants. Methods： 100 cases premature intant were divided into 2 groups randomly, observation group（ 50 cases）was injected with an epidural tese dose of 3 ml of 1.5% lidocaine, after turning and lie herizontally, given 0. 125% ropivacaine and 2 μg/ml fentany epidurally and conduce PECA,infuslon speed 5 ml/h, comparison group（50 cases）did not adopt the treatment of labor painkilling. The effect of painkilling the duration of labor course, the mode of delivery and neonatal Apgar Scores and the postpartum hemorrhage were observed. Results： There were significant differences in the effect of painkilling between two groups. The active time was shorter （P〈0.05） ,There was no significant difference in the two groups in the rates of cesarean section and neonatal Apgarscores（P〈0.05）. Conclusions： PCEA had distinct antalgic effect and had no influence on delivery course and neonates.