中晚孕引产患者围产期实施超前镇痛的临床观察

目的 本课题通过对中晚孕引产患者的围产期实施超前镇痛,解决患者的疼痛,以保证患者围产期镇痛的连续性和完整性,达到良好的镇痛效果.方法 将所有患者随机分为观察组和对照组各40例,观察组 VAS 疼痛评分达3分时予超前镇痛,即开始给予口服药物镇痛,塞来昔布胶囊400mg/次、草乌甲素片0.4mg,直到产后2天,24小时后追加1次口服塞来昔布胶囊200mg、草乌甲素片0.4mg;对照组未予任何镇痛处理,自然等待分娩.结果 观察组未出现呼吸抑制、 低血压、恶心呕吐等过度镇静症状,疼痛视觉模拟 VAS 评分比较观察组均好于对照组,差异有统计学意义（P 〈0.05）;宫缩启动时间、总产程及总出血量也明显优于对照组,两组比较差异有统计学意义（P 〈0.05）;观察组与对照组的患者满意度分别为97.5%（39/40）和55.0%（22/40）,两组比较差异有统计学意义（P 〈0.05）.结论 对中晚孕引产患者的围产期实施超前镇痛,可有效减轻患者焦虑和恐惧的心理,缩短产程,降低产后出血等并发症的发生,促进患者的早日康复.

Objective To study the analgesic effect of perinatal analgesia in the perinatal period of pregnancy in order to ensure the continuity and integrity of analgesia in perinatal period and to achieve a good analgesic effect. Methods All patients were randomly divided into observation group and control group, 40 cases, the observation group VAS pain score of 3 points to the preemptive analgesia, which began to give oral drug analgesia, 400 mg celecoxib capsules, 0.4mg plain tablets, until 2 days postpartum, 24 hours after an additional oral celecoxib capsules 200mg, Aconitum tablets 0.4mg; control group without any analgesic treatment, natural waiting for delivery. Results There was no significant difference in the visual analogue VAS score between the observation group and the control group （P 〈0.05）. There was no significant difference in the time of onset of contractions, total labor （P 〈0.05） （P 〈0.05）. The satisfaction degree of the patients in the observation group and the control group was 97.5% （39/40） and 55.0% （22/40） respectively, and the difference was statistically significant ）, The difference between the two groups was statistically significant （P 〈0.05）. Conclusion Pre - labor analgesia is effective in alleviating the anxiety and fears of the patients in the mid - late pregnancy. It can shorten the duration of labor and reduce the incidence of complications such as postpartum hemorrhage and promote the early recovery of the patients.