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初产妇焦虑状态与痛阈关系对分娩镇痛的影响 被引量：22

Relation of pain threshold with anxiety affecting labor analgesia in nulliparous
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摘要 目的探讨初产妇的焦虑状态与痛阈的关系及对分娩镇痛的影响。方法硬膜外分娩镇痛的初产妇50例,根据汉密尔顿焦虑量表(HAS/HAMA)、汉密尔顿抑郁量表(HDS/MAMD)评定每位产妇的焦虑、抑郁状态。焦虑组33例,其中轻度焦虑组24例、中重度焦虑组9例;无焦虑组17例。所有产妇均无抑郁症状(HDS<8分)。测定两组躯体感觉阈值(SPT)、痛觉感受阈值(PPT)和视觉模拟评分(VAS),观察各组的镇痛效果、产程,第一产程末检测肾上腺素(E)、去甲肾上腺素(NE)、β-内啡肽(β-EP)水平。结果 50例产妇焦虑发生率为66%。焦虑组PPT较无焦虑组升高,差异有统计学意义(P<0.05);焦虑组较无焦虑组的镇痛效果差、潜伏期延长,血E、NE、β-EP水平增高,差异有统计学意义(P<0.05);HAS标准分与PPT呈负相关性(轻度焦虑组r=-0.725,中重度焦虑组r=-0.836)。结论分娩状态下过度焦虑可降低产妇痛觉耐受,对镇痛效果产生影响。
作者 朱海 陆智杰 缪雪蓉 张在华 俞卫锋
机构地区 第二军医大学东方肝胆外科医院麻醉科
出处 《第二军医大学学报》 CAS CSCD 北大核心 2011年第12期1382-1384,共3页 Academic Journal of Second Military Medical University
关键词 焦虑 分娩镇痛 痛阈
分类号 R614 [医药卫生—麻醉学]
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参考文献11

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二级参考文献12

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引证文献22

二级引证文献205

第二军医大学学报
2011年 第12期

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