急诊剖宫产术产妇术前吸入50%笑气宫缩痛缓解效果观察

发布时间：2018-10-12 12:33

【摘要】：目的观察50%笑气吸入对急诊剖宫产术产妇宫缩痛的缓解效果。方法蛛网膜下腔阻滞下实施急诊剖宫产术的产妇44例。其中24例在蛛网膜下腔穿刺前给予50%笑气吸入2 min(笑气组),20例未吸入笑气(对照组)。分别于蛛网膜下腔穿刺前及穿刺时采用视觉模拟评分(VAS)、西班牙疼痛评分(LLANTO)、镇静评分(OAS)评估镇痛质量。记录并比较两组手术时间、催产素使用量、术中并发症发生情况、术后出血量、新生儿1 min及5 min Apgar评分、产妇满意度评分。结果笑气组穿刺时VAS、LLANTO与穿刺前相比,P均0.05;笑气组穿刺时LLANTO低于对照组(P0.05)。笑气组术中发生口干2例、头痛3例、恶心呕吐3例,对照组分别为0、1、2例,两组术中并发症发生情况相比无统计学差异。笑气组、对照组手术满意度评分分别为(4.8±1.2)、(2.5±1.8)分,两组相比,P0.05。两组新生儿1、5 min Apgar评分差异无统计学意义。结论对急诊剖宫产术产妇麻醉前给予50%笑气吸入可缓解宫缩痛,提高手术满意度,应用较为安全。
[Abstract]:Objective to observe the effect of inhaling 50% nitrous oxide on parturient's contractive pain in emergency cesarean section. Methods 44 cases of parturient undergoing emergency cesarean section under subarachnoid block. Before subarachnoid puncture, 24 cases were treated with 50% nitrous oxide inhalation for 2 min (nitrous oxide group) and 20 cases did not inhaled nitrous oxide (control group). Visual analogue score (VAS), Spanish pain score (LLANTO), sedation score (OAS) were used to evaluate analgesia quality before and during subarachnoid puncture. The operation time, oxytocin usage, intraoperative complications, postoperative bleeding volume, neonatal 1 min and 5 min Apgar scores, and maternal satisfaction score were recorded and compared between the two groups. Results the VAS,LLANTO of the laughing gas group was lower than that of the control group (P 0.05), and the LLANTO of the nitrous oxide group was lower than that of the control group (P 0.05). There were 2 cases of dry mouth, 3 cases of headache, 3 cases of nausea and vomiting in the nitrous oxide group and 2 cases in the control group, respectively. There was no significant difference in the incidence of intraoperative complications between the two groups. The score of satisfaction was (4.8 卤1.2), (卤1.8) in the nitrous oxide group and control group, compared with the control group (P 0.05). There was no significant difference in 1 min Apgar score between the two groups. Conclusion it is safe to apply 50% nitrous oxide inhalation to emergency cesarean section before anaesthesia to relieve the pain of uterine contraction and improve the satisfaction of the operation.
【作者单位】：南京医科大学附属南京医院;南京市第一医院;
【分类号】：R719.8

【共引文献】