硬膜外阻滞麻醉镇痛对产妇分娩的影响

发布时间：2018-05-26 17:49

本文选题：硬膜外阻滞麻醉 + 分娩　；参考：《中国药房》2016年17期

【摘要】：目的:观察硬膜外阻滞麻醉镇痛对产妇分娩的影响。方法:将197例产妇按随机数字表法分为观察组(95例)和对照组(102例)。对照组产妇自然分娩,观察组在对照组基础上加用硬膜外阻滞麻醉镇痛。比较两组产妇的新生儿阿氏(Apgar)评分(5min)、行为神经评分及产妇视觉模拟(VAS)评分,母婴结局及不良反应发生率。结果:两组产妇的新生儿Apgar评分及行为神经评分比较,差异无统计学意义(P0.05);观察组产妇VAS评分及剖宫产率显著低于对照组,差异均有统计学意义(P0.05);观察组产妇产后出血、阴道助产及新生儿窒息率比较,差异无统计学意义(P0.05)。观察组产妇皮肤瘙痒、恶心呕吐、头痛、下肢发麻等不良反应经对症处理后好转。结论:硬膜外阻滞麻醉用于分娩镇痛对新生儿无影响,能明显减轻产妇疼痛,且安全性较好。
[Abstract]:Objective: to observe the effect of epidural block anesthesia and analgesia on parturient delivery. Methods: 197 cases of parturient were randomly divided into observation group (n = 95) and control group (n = 102). Control group parturient natural delivery, observation group on the basis of the control group with epidural block anesthesia analgesia. The neonatal Apgara score, behavioral nerve score, visual analogue vas score, maternal and infant outcome and incidence of adverse reactions were compared between the two groups. Results: there was no significant difference in neonatal Apgar score and behavioral nerve score between the two groups, while the VAS score and cesarean section rate in the observation group were significantly lower than those in the control group (P 0.05). There was no significant difference in the rate of vaginal midwifery and neonatal asphyxia (P 0.05). The side effects of skin itching, nausea and vomiting, headache and lower limb anaesthesia were improved in the observation group. Conclusion: epidural block anesthesia has no effect on neonatal analgesia, and it can obviously relieve the pain of parturient.
【作者单位】：郑州市第三人民医院药学部;郑州市第三人民医院妇产科;郑州市第三人民医院肿瘤医学部;
【分类号】：R714.3

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