瑞芬太尼静脉自控镇痛泵联合心理干预用于分娩镇痛60例

Labor Analgesia Efficacy of Remifentanil Intravenous Patient Controlled Analgesia Combined with Mental Intervention and Its Effects on Incidence of Cesarean Section in 60 Cases

目的探讨瑞芬太尼静脉自控镇痛泵联合心理干预用于分娩镇痛的疗效及对剖宫产率的影响。方法将120例产妇随机分为对照组和观察组,各60例。对照组给予瑞芬太尼自控镇痛泵进行分娩镇痛,观察组在对照组基础上联合应用心理干预。结果与对照组相比,观察组第一产程、第二产程、第三产程的疼痛视觉模拟评分显著下降(P<0.05);观察组情绪正常比例显著增加,中度焦虑比例显著减少,而轻度和重度焦虑组间比较无统计学差异(P>0.05)。观察组剖宫产率为13.33%,明显低于对照组的28.33%(P<0.05)。观察组和对照组的不良反应发生率分别为13.33%和18.33%,组间比较无统计学差异(P>0.05)。结论瑞芬太尼静脉自控镇痛泵联合心理干预用于分娩镇痛的效果良好,能显著缓解分娩疼痛,减轻焦虑程度,降低剖宫产率,且不良反应轻微。

Objective To investigate the labor analgesia efficacy of mental intervention in combination with remifentanil intravenous pa- tient controlled analgesia and its effects on incidence of cesarean section. Methods 120 cases of delivery women were selected as re- search subjects to be randomly divided into two groups equally. The control group （n=60）was given remifentanil intravenous patient controlled analgesia, while the observation group（ n =60） was given mental intervention in combination with remifentanil intravenous pa- tient controlled analgesia. Results In comparison with the control group, score of visual analogue scale （VAS） which reflected pain de- gree in the observation group was respectively statistically lower than those in the control group during the first, second and third stage of labor （all P 〈 0. 05）. As to degree of anxiety, cases of normal in anxiety was statistically more and cases of moderate anxiety was statistically less in the observation group than those in the control group, while cases of mild and severe anxiety in the two groups were statistically same （both P 〉 0. 05）. During the delivery, incidence of cesarean section in the observation group was 13.33%, which was statistically lower than that of 28.33% in the control group （P 〈 0. 05）. During the treatment, the incidence of adverse reactions in the observation group was 13.33%, which was statistically same with that of 18.33% in the control group （P 〉 0. 05）. Conclusion Mental intervention in combination with remifentanil intravenous patient controlled analgesia is effective for labor analgesia, which can significantly alleviate labor pain, mitigate anxiety and reduce incidence of cesarean section with minor adverse reactions.