全产程精确调控法用于分娩镇痛的临床观察

Clinical Observation on Precise Regulation of Whole Labor in Labor Analgesia

目的观察在分娩镇痛过程中,通过精确调节药物剂量产生的不同效果,对产程转归的影响以及不良反应。方法选取分娩镇痛产妇100例,随机分为A,B两组,A组,根据产妇以及产程进展的需要,灵活掌握麻醉时机,调控镇痛效果。B组,固定穿刺腰椎间隙及用药模式,调节较少。整个产程记录两组产妇的生命体征,镇痛的效果,以及产程的时间和转归,及发生的不良反应。结果 A组产妇的产程比B组明显缩短,转剖宫产数以及产钳助产均少于B组,不良反应发生率也少于B组,差异均具有统计学意义(P<0.05)。结论在分娩镇痛过程中,根据需要精确调整药量及输注速度,镇痛效果好,副作用更少。

Objective To observe the efects of diferent doses on the course of labor and the adverse reactions during labor analgesia. Methods 100 patients were randomly divided into group A, B, and group A, according to the needs of the puerpera and the progress of labor, and the timing of anesthesia was flexibly controlled to control the analgesic effect. Group B, fxed puncture lumbar intervertebral space and medication mode, less regulation. In the whole process, the vital signs, the efects of analgesia, the time and the return of the labor, and the adverse reactions that were recorded. Results The birth process of group A was signifcantly shorter than that in group B, and the number of caesarean section and forceps delivery were less than that of group B, and the incidence of adverse reaction was less than that in group B, the diference was statistically signifcant （P 〈 0.05）. Conclusion In the process of labor analgesia, it is necessary to adjust the dosage and infusion speed accurately, the analgesia efect is good and the side efect is less.