硬膜外间歇脉冲输注与持续背景输注用于分娩镇痛的比较

发布时间：2018-11-16 15:59

【摘要】：目的比较硬膜外间歇脉冲输注与持续背景量输注两种模式用于分娩镇痛,对镇痛效果、分娩方式及新生儿结局的影响是否有所不同。方法本研究是一项回顾性队列研究。按照镇痛方案分成两组,即持续背景输注联合患者自控给药组(CEI+PCEA组,n=245)和硬膜外间歇脉冲输注联合患者自控给药组(IEB+PCEA组,n=258)。收集相关资料,分析不同镇痛方案对围产期事件的影响。结果IEB+PCEA组每小时罗哌卡因用药量及舒芬太尼用药量明显少于CEI+PCEA组,自控按压次数和有效给药次数明显少于CEI+PCEA组。两组在产妇的最终分娩方式和新生儿出生后低Apgar评分比例方面差异均无统计学意义。结论与持续背景输注模式相比,硬膜外间歇脉冲输注模式镇痛效果更好,且对最终分娩方式及新生儿结局无不良影响。
[Abstract]:Objective to compare the effects of epidural intermittent pulse infusion and continuous background infusion on labor analgesia. Methods this study is a retrospective cohort study. The patients were divided into two groups according to the analgesic regimen: continuous background infusion combined with patient-controlled administration group (CEI PCEA group) and epidural intermittent pulse infusion combined with patient-controlled infusion group (IEB PCEA group, n = 258). To collect relevant data and analyze the influence of different analgesic schemes on perinatal events. Results the dosage of ropivacaine and sufentanil per hour in IEB PCEA group was significantly less than that in CEI PCEA group. There was no significant difference in the final delivery style and the proportion of low Apgar score between the two groups. Conclusion compared with the continuous background infusion mode, the epidural intermittent pulse infusion mode has better analgesic effect, and has no adverse effect on the final delivery mode and neonatal outcome.
【作者单位】：北京大学第一医院麻醉科;
【分类号】：R714.3

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