[1]刘邦精.硬膜外间歇注药对产妇运动功能和分娩结局的影响[J].医学信息,2022,35(19):65-67.[doi:10.3969/j.issn.1006-1959.2022.19.017]
　LIU Bang-jing.Effect of Intermittent Epidural Injection on Maternal Motor Function and Delivery Outcome[J].Journal of Medical Information,2022,35(19):65-67.[doi:10.3969/j.issn.1006-1959.2022.19.017]
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硬膜外间歇注药对产妇运动功能和分娩结局的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年19期
页码:
65-67
栏目:
论著
出版日期:
2022-10-01

文章信息/Info

Title:
Effect of Intermittent Epidural Injection on Maternal Motor Function and Delivery Outcome
文章编号:
1006-1959（2022）19-0065-03
作者:
刘邦精
（上栗县妇幼保健院麻醉科，江西 上栗 337009）
Author(s):
LIU Bang-jing
(Department of Anesthesiology,Shangli County Maternal and Child Health Hospital,Shangli 337009,Jiangxi,China)
关键词:
分娩镇痛; 硬膜外阻滞; 间歇注药; 运动功能; 分娩结局
Keywords:
Labor analgesia; Epidural block; Intermittent injection; Motor function; Labor outcome
分类号:
R714.3
DOI:
10.3969/j.issn.1006-1959.2022.19.017
文献标志码:
A
摘要:
目的 研究硬膜外间歇注药对产妇运动功能和分娩结局的影响。方法 选择2021年1月-10月于我院行硬膜外阻滞分娩镇痛的60例产妇，应用随机数字表法分为对照组和观察组，每组30例。对照组给予硬膜外连续给药麻醉，观察组给予硬膜外间歇注药麻醉。比较两组麻醉药物用量、疼痛视觉模拟评分（VAS）、运动功能、分娩结局。结果 观察组麻醉药物用量少于对照组（P＜0.05）；两组镇痛前后各时间点的VAS评分比较，差异无统计学意义（P＞0.05）；观察组镇痛后3、5 h时的运动阻滞发生率低于对照组（P＜0.05）；观察组产程时间短于对照组，器械辅助率及转剖宫产率小于对照组（P＜0.05）；两组新生儿Apgar评分比较，差异无统计学意义（P＞0.05）。结论 硬膜外间歇注药可在保证镇痛效果的同时，降低麻醉药物用量，减少产妇运动阻滞，改善其分娩结局。
Abstract:
Objective To study the effect of epidural intermittent injection on maternal motor function and delivery outcome.Methods From January to October 2021,60 parturients undergoing epidural block labor analgesia in our hospital were selected and divided into control group and observation group by random number table method, with 30 cases in each group. The control group was given continuous epidural anesthesia, and the observation group was given intermittent epidural anesthesia. The anesthetic dosage, visual analogue scale (VAS), motor function and delivery outcome were compared between the two groups.Results The dosage of anesthetics in the observation group was less than that in the control group (P<0.05). There was no significant difference in VAS scores between the two groups before and after analgesia (P>0.05). The incidence of motor block in the observation group was lower than that in the control group at 3 and 5 h after analgesia (P<0.05). The labor time of the observation group was shorter than that of the control group, and the rate of instrument assistance and cesarean section was lower than that of the control group (P<0.05). There was no significant difference in Apgar score between the two groups (P>0.05).Conclusion Intermittent epidural injection can reduce the dosage of anesthetic drugs, reduce maternal motor block and improve the outcome of delivery while ensuring the analgesic effect.

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更新日期/Last Update: 1900-01-01