分娩镇痛应用于妊娠期高血压疾病产妇的可行性研究

发布时间：2018-03-06 03:30

本文选题：连续硬膜外麻醉　切入点：腰-硬联合麻醉　出处：《重庆医学》2017年32期 　论文类型：期刊论文

【摘要】：目的分析分娩镇痛应用于妊娠期高血压疾病产妇对产程和新生儿的影响。方法选取2015年3-11月在该院分娩孕妇的病历资料共237例,诊断妊娠期高血压疾病。将入选病例分为连续硬膜外麻醉组126例(EA组)和腰-硬联合麻醉组111例(CSEA组)。记录产妇的年龄、体质量、孕周;记录镇痛前(T1)、镇痛后5(T2)、10(T3)、30(T4)、60(T5)、120min(T6),宫口开全(T7)、胎头娩出时(T8)的动脉平均压、视觉模拟评分(VAS评分);记录第一产程、第二产程时间;统计分娩方式(自然分娩、剖宫产、产钳助产)、子痫发生、产后出血的例数;记录缩宫素、产时降压药物的应用情况;记录新生儿体质量、Apgar评分。结果在T3、T4时间点CSEA组MAP与EA组与比较,差异有统计学意义(P0.05);在T2、T3时间点CSEA组VAS评分与EA组与比较,差异有统计学意义(P0.05);在缩宫素应用方面,CSEA组与EA组与比较,差异有统计学意义(P0.05)。结论连续硬膜外分娩镇痛可安全有效的应用于合并妊娠高血压疾病产妇的分娩镇痛。
[Abstract]:Objective to analyze the effect of labor analgesia on labor process and newborn in pregnant women with hypertension complicating diseases complicating pregnancy. Methods 237 cases of pregnant women who gave birth in our hospital from March to November in 2015 were selected. The patients were divided into continuous epidural anesthesia group (126 cases, EA group) and spinal-epidural anesthesia group (111 cases, CSEA group). The age, body weight and gestational week of the parturient were recorded. The mean arterial pressure, visual analogue score and VAS score were recorded before and after analgesia. After analgesia, the mean arterial pressure and visual analogue score were recorded. The first stage of labor, the time of the second stage of labor, and the statistical method of delivery (natural delivery, cesarean section, cesarean section) were recorded, and the mean arterial pressure and visual analogue score (VAS) were recorded in 120 mins of T6, T7, T8 and T8, respectively, and the first stage of labor, the time of the second stage of labor, and the statistical method of delivery (spontaneous delivery, cesarean section, cesarean section) were recorded. The number of cases of midwifery, eclampsia, postpartum hemorrhage, the application of oxytocin and antihypertensive drugs during labor, and the Apgar score of neonatal body mass were recorded. Results the MAP of CSEA group was compared with EA group at T3T4 time point. There was significant difference in VAS score between CSEA group and EA group at T _ 2T _ 3 time point, there was significant difference between VAS score and EA group at T _ 2T _ 3 time point, and there was significant difference in oxytocin application between CSEA group and EA group. Conclusion continuous epidural analgesia is a safe and effective method for labor analgesia in women with pregnancy-induced hypertension.
【作者单位】：首都医科大学附属北京妇产医院麻醉科;
【基金】：北京市卫生和计划生育委员会科技成果和适宜技术推广项目(TG-2014-12)
【分类号】：R714.3

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