产妇自控镇痛对围生儿的影响

Effects of patient controlled epidural analgesia on fetus and infants of perinatal

目的 通过使用产妇自控硬膜外镇痛(patient controlled epidural analgesia,PCEA)观察其对围生儿的影响。方法 34例无产科、麻醉禁忌证的初产妇使用自控硬膜外镇痛(A组),同期条件相似40例(B组)未给予任何镇痛,观察2组产痛程度、母儿的情况、测胎儿娩出后脐动脉血气。结果 用药后2组产妇产痛评分比较差异有显著性(P<0.05);2组产妇血压、脉搏、活跃期时间、血气分析、胎心率、新生儿Apgar评分、胎儿体重及产后2h出血量差异均无显著性(P>0.05)。结论 分娩过程中使用产妇自控硬膜外镇痛,可以获得满意的镇痛效果,对母儿无影响,此技术值得在临床推广。

Objective To investigate the effects of patients controlled epidural analgesia on fetus and infants of perinatal . Methods 35 nulliparous full term patients without any obstetric complications and anesthesia contraindications were selected as the study group and 40 pregnant women with similar obstetric conditions as control group without any anesthesia. We compared the labor pain, umbilical arterial blood pH, PCO2, PO2, parturients , fetus and infants of perinatal status of two groups. Results There were no difference between two groups in visual analog scale, umbilical arteial blood pH, PCO2, PO2, apgar score , the first stage birth weight and postpartum hemorrhage (P>0. 05). Conclusion Using patient controlled epidural analgesia during labor had good analgesia effect and no effect on mother and baby.