硬膜外自控镇痛分娩产妇接受阶段性强化教育的效果

Effect of Staged Intensive Education on Parturients with Epidural Controlled Analgesia in Childbirth

目的:探讨舒芬太尼硬膜外自控分娩镇痛(PCEA)中配合阶段性强化教育的效果。方法:选取2020年1月—2023年1月在本院分娩的产妇82例,随机分为对照组和观察组,各41例。两组均接受舒芬太尼联合罗哌卡因PCEA,对照组予以常规护理,观察组在对照组基础上予以阶段性强化教育,统计两组产妇产程用时以及母婴结局情况,并记录产妇产后2h出血量、疼痛情况以及产后首次排尿时间。结果:观察组第一、二、三产程用时均短于对照组(P<0.05)。观察组产后2h出血量少于对照组(P<0.05);观察组产痛0级、Ⅰ级比例高于对照组,其产痛Ⅱ级、Ⅲ级比例低于对照组(P<0.05);观察组产后首次排尿时间早于对照组(P<0.05)。观察组产妇的阴道分娩率为73.17%,高于对照组的48.78%(P<0.05);观察组新生儿并发症发生率为4.88%,低于对照组的19.52%(P<0.05)。结论:舒芬太尼PCEA干预中配合阶段性强化教育可有效缩短产妇产程,减少出血,缓解产妇疼痛,促进产后排尿功能的恢复,优化母婴结局。

Objective:To explore the effect of staged intensive education in sufentanil patient-controlled epidural labor analgesia(PCEA).Methods:A total of 82 parturients who gave birth in our hospital from January 2020 to January 2023 were randomly divided into control group and observation group,with 41 parturients in each group.Both groups received sufentanil combined with ropivacaine PCEA.The control group was given routine nursing,and the observation group was given staged intensive education on the basis of the control group.The duration of labor and maternal and infant outcomes of the two groups were counted,and the amount of bleeding,pain and the first urination time after delivery were recorded.Results:The first,second and third stages of labor in the observation group were shorter than those in the control group(P<0.05).The amount of bleeding at 2 hours after delivery in the observation group was less than that in the control group(P<0.05).The proportion of pain grade 0 and grade I in the observation group was higher than that in the control group,and the proportion of pain gradeⅡand gradeⅢin the observation group was lower than that in the control group(P<0.05).The first time of postpartum urination in the observation group was earlier than that in the control group(P<0.05).The vaginal delivery rate of the observation group was 73.17%,which was higher than 48.78%of the control group(P<0.05).The incidence of neonatal complications in the observation group was 4.88%,which was lower than 19.52%in the control group(P<0.05).Conclusion:Sufentanil PCEA intervention combined with staged intensive education can effectively shorten the maternal labor process,reduce bleeding,relieve maternal pain,promote the recovery of postpartum urinary function,and optimize maternal and infant outcomes.