硬膜外麻醉分娩鎮痛191例的臨床觀察

Clinical Observation of 191 cases treated with epidural anesthesia for labour analgesia

目的探討硬膜外麻醉鎮痛的臨床安全及其對體溫、産程、産後出血量及縮宮素使用率等的影響,爲助産士及其他醫護人員制定合理計劃提供參考措施。方法通過回顧性研究隨機抽取行硬膜外麻醉分娩鎮痛191例為鎮痛組,及未行分娩鎮痛的患者193例爲對照組,比較兩組産婦體溫變化情况、第一、第二産程時間、産後出血、縮宮素使用情况。結果硬膜外分娩鎮痛能引起暫時性體溫升高,對產後2小時體溫無明顯影響(p>0.05)。分娩鎮痛能縮短第一、第二產程(p<0.05)。但對産後出血及縮宮素使用率無明顯影響(p>0.05)。結論硬膜外麻醉分娩鎮痛可縮短産程時間,對産後出血量及縮宮素使用無明顯不良影響,但會引起暫時性體溫升高,多在産後2小時恢復正常。

Objective To evaluate the clinical safety of epidural anesthesia during labour and its influence on body temperature,labour stage duration,postpartum bleeding volume and oxytocin utilization.Methods After the retrospective study and random selection,191 patient undergoing epidural anesthesia were selected as experiment group,while another 193 patient without epidural anesthesia were selected as control group.Comparison of body temperature change,duration of first stage and second stage of labour,postpartum bleeding volume and usage of oxytocin were done between two groups.Results Epidural anesthesia can cause temporary increase of body temperature,but no significant effect 2 hours after delivery(p>0.05).The first and second stages of labour were significantly shortened in experiment group(p>0.05).But no significant differences founded in terms of postpartum bleeding volume and oxytocin utilization(p>0.05).Conclusion Epidural anesthesia can shorten the duration of labour no harmful influence on postpartum bleeding and oxytocin utilization.It can cause a temporary increase of body temperature but returns to normal during postpartum.