硬膜外间歇脉冲给药速度对分娩镇痛效果和新生儿的影响

Effect of Intermittent Epidural Pulse Administration Rate on Analgesic Effect during Labor and Neonatal Effects

目的观察程控硬膜外间歇脉冲注入速度对分娩镇痛效果和新生儿的影响。方法选择2020年7月—2022年12月在珠海市妇幼保健院接受硬膜外分娩镇痛的初产妇186例,其中排除转剖宫产者25例,剩余产妇随机分为高速组(注药速度为360 mL/h)81例和低速组(注药速度为100 mL/h)80例,观察两组镇痛效果和对新生儿的影响。结果两组的疼痛评分、镇痛情况、感觉阻滞最高平面、分娩方式、产程时间、新生儿出生情况和脐带动脉血血气分析等指标比较,差异均无统计学意义(P>0.05)。结论硬膜外间断脉冲给药速度对分娩镇痛效果和新生儿预后无明显影响。

Objective To observe the effect of programmed epidural intermittent pulse infusion rate on labor analgesia and neonatal status.Methods A total of 186 primiparas who voluntarily received epidural labor analgesia in our hospital from July 2020 to December 2022 were selected.Among them,25 cases were excluded for cesarean section,and the remaining 161 primiparas were randomly divided into high speed group(n=81,injection speed was 360 mL/h)and low speed group(n=80,injection speed was 100 mL/h).The effects of the two groups were observed.Results There were no significant differences in pain score,analgesia,maximum plane of sensory block,mode of delivery,duration of labor,birth of newborn and blood gas analysis of umbilical cord artery between the two groups(P>0.05).Conclusion The rate of intermittent pulsed epidural administration has no significant effect on the efficacy of labor analgesia and neonatal prognosis.