麻醉护士产程调试在分娩镇痛中的应用价值

The application value of the stage debugging of anesthesia nurses in labor analgesia

目的:探讨麻醉护士产程调试对分娩镇痛产妇的应用价值。方法:将100例无痛分娩的产妇随机分为2组,对照组按照分娩镇痛常规护理,支持组给予产妇分娩镇痛围产程期麻醉护士的产程调试,记录并比较2组产妇的疼痛程度(宫口开全时)、静脉镇痛泵平均进药总量、按压次数及产程时间。结果:支持组疼痛程度低于对照组(P<0.05);支持组静脉镇痛泵平均进药总量及按压次数均明显低于对照组(P<0.01);支持组第一产程、第二产程用时均短于对照组(P<0.01和P<0.05);而第三产程用时较对照组产程并未缩短,差异无统计学意义(P>0.05)。结论:麻醉护士对分娩镇痛产妇全程产程调试可以提高产妇分娩镇痛效果,减少静脉镇痛药物用药量,缩短产程时间,可广泛应用于临床。

Objective：To investigate the application value of the stage debugging of anesthesia nurses in labor analgesia. Methods：One hundred puerperas with painless childbirth were randomly divided into the control group and support group according to the labor analgesia. The control group and support group were treated with routine nursing care and perinatal stage debugging of anesthesia nurses in labor analgesia,respectively. The degree of pain（ at full dilatation of portio） ,average total amount of drugs by intravenous analgesia, press time and duration of labor in two groups were recorded and compared. Results：The degree of pain,average total amount of drugs by intravenous analgesia and press time in support group were significantly less than those in control group（P〈0. 01）. The duration of the first and second stage of labor in support group were shorter than those in control group（P〈0. 01 and P〈0. 05）,but the duration of the third stage of labor did not shorten in support group. Conclusions：The stage debugging of anesthesia nurses in labor analgesia can improve the childbirth analgesia effect,reduce the dose of intravenous analgesia drug and shorten labor time,which can be widely used in clinic.