腰硬联合麻醉自控镇痛分娩对产妇产后首次排尿的影响

Combined Spinal-epidural Anesthesia Effect of Patient-controlled Analgesia Delivery on Postpartum First Micturition

目的:观察腰硬联合麻醉自控镇痛分娩对产妇产后首次排尿的影响,以供参考。方法:选择2011年5月至2013年4月在我院分娩的产妇154例作为研究对象,根据产妇意愿分组。A组未采取镇痛措施分娩,B组采取腰硬联合麻醉自控镇痛分娩。对比两组产妇产后首次排尿时间、VAS评分、剖宫产率和尿潴留发生率的差异性。结果:与A组产妇相比较,B组产妇产后首次排尿时间较长,VAS评分较低,剖宫产率较低,尿潴留发生率较高,差异具有统计学意义(P<0.05)。结论:腰硬联合麻醉自控镇痛分娩对产妇产痛具有良好的缓解作用,可降低剖宫产率,但可延长产后首次排尿时间,增加尿潴留的发生风险,在今后的临床工作中应予以重视。

Objective：To observe the effect of combined spinal-epidural anesthesia of patient-controlled analgesia delivery on postpartum first micturition. Methods：Choosing 154 cases from May. 2011 to Apr. 2013, A group did not take measures, B group adopted combined spinal-epidural anesthesia delivery. Compare 2 groups of first micturition time, VAS score, cesarean section rate and the incidence of urinary retention difference.Results：Compared with A group, B group of postpartum first micturition time longer, VAS score lower, cesarean section lower, the incidence of urinary retention higher, the difference was statistically significant （P〈0.05）. Conclusion：Combined spinal-epidural anesthesia analgesia delivery has good effect on relieving labor pain, can reduce the cesarean section rate, but can prolong the time of first postpartum urination, increased risk of urinary retention, more attention should be paid in the future.