PCEA联合IEB与CEI镇痛分娩模式对初产妇分娩镇痛及运动功能的影响

Effect of PCEA Combined with IEB and CEI Analgesic Delivery Mode on the Delivery Analgesia and Motor Function of Primipara

目的:观察自控镇痛(PECA)联合硬膜外间歇脉冲输注(IEB)与持续硬膜外输注(CEI)镇痛分娩模式对初产妇分娩镇痛及运动功能的影响。方法:选取2019年9月-2020年9月笔者所在医院就诊的初产妇90例开展研究,按照随机数字表法将其分为观察组(45例)和对照组(45例)。对照组采取PECA联合CEI镇痛模式,观察组给予PCEA联合IEB镇痛模式。比较两组疼痛程度、运动功能。结果:两组VAS评分基本呈先降低后上升趋势。T_(0)、T_(1)、T_(2)、T_(3)时,两组VAS评分比较差异均无统计学意义(P>0.05)。T_(4)、T_(5)、T_(6)时观察组VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组Bromage运动评分优于对照组,差异有统计学意义(P<0.05)。结论:与PECA联合CEI镇痛分娩模式相比,PCEA联合IEB镇痛分娩模式的效果更好,可降低患者疼痛程度,改善患者运动功能,可在临床上推广。

Objective:To observe the effect of patient-controlled epidural analgesia (PECA) combined with intermittent epidural bolus (IEB) and continuous epidural infusion (CEI) analgesic delivery mode on the delivery analgesia and motor function of primiparas.Method:A total of 90 primiparas treated in our hospital from September 2019 to September 2020 were selected for this study,and they were divided into the observation group (45 cases) and the control group (45 cases) according to the random number table method.The control group was given PCEA combined with CEI analgesia mode,and the observation group was given PCEA combined with IEB analgesia mode.The pain degree and motor function of the two groups were compared.Result:The VAS scores of the two groups basically decreased at first and then increased.At T_(0),T_(1),T_(2),and T_(3),there were no statistically significant differences in VAS scores between the two groups (P>0.05).The VAS scores of the observation group at T_(4),T_(5),and T_(6) were significantly lower than those of the control group,and the differences were statistically significant (P<0.05).The Bromage motor score of the observation group was better than that of the control group,and the difference was statistically significant (P<0.05).Conclusion:Compared with the PECA combined with CEI analgesic delivery mode,the PCEA combined with IEB analgesic delivery mode has a better effect,which can reduce the pain degree of patients and improve the motor function of patients,and can be promoted in clinical practice.