瑞芬太尼联合会阴阻滞用于分娩镇痛的临床探讨

发布时间：2018-03-31 00:18

  本文选题：瑞芬太尼　切入点：分娩镇痛　出处：《东南大学学报(医学版)》2017年04期

【摘要】：目的:观察两种分娩镇痛方法对产妇第二产程镇痛效果、会阴损伤情况,比较产妇、麻醉医生、产科医生、助产士接受率。方法:选择在本院住院161例分娩产妇,随机分为硬膜外分娩镇痛组(Y组,76例)及瑞芬太尼静脉分娩镇痛+会阴阻滞组(J组,85例)。采用视觉模拟评分(VAS)评估镇痛效果,比较两组产程时间、会阴损伤情况、第二产程VAS、产妇和医护接受率。结果:(1)Ⅰ、Ⅱ度会阴裂伤率J组高于Y组,差异有统计学意义(P0.01);Ⅲ度会阴裂伤率、阴道裂伤两组差异无统计学意义(P0.05)。第二产程VAS分值Y组低于J组,但差异无统计学意义。(2)产妇接受率Y组低于J组(P0.05),麻醉医生、产科医生和助产士接受率Y组高于J组(均P0.05)。结论:硬膜外分娩镇痛较静脉分娩镇痛联合会阴阻滞能够显著减少会阴损伤,但第二产程镇痛效果两者无差异;静脉分娩镇痛产妇接受率高,而硬膜外分娩镇痛麻醉医生、产科医生和助产接受率高。
[Abstract]:Objective: to observe the analgesic effect of two kinds of labor analgesia methods on the second stage of labor and the perineum injury, and to compare the acceptance rate of parturient, anesthesiologist, obstetrician and midwife.Methods: 161 cases of parturient in our hospital were randomly divided into epidural analgesia group (n = 76) and remifentanil group (n = 85).Visual analogue score (VAS) was used to evaluate the analgesic effect and to compare the duration of labor, perineum injury, VASs of the second stage of labor, and the acceptance rate of maternal and medical care between the two groups.Results the rate of perineal laceration in group 鈪，

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