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目的:探讨硬膜外和自控硬膜外麻醉镇痛在分娩中的效果。方法:84例顺产产妇按照随机数字表法分为观察组和对照组。在第1产程中对照组给予常规硬膜外麻醉,观察组采用自控硬膜外麻醉。结果:两组产妇均顺利分娩和出院。观察组产后出血量和新生儿Apgar评分与对照组比较,差异无统计学意义(P>0.05);但视觉模拟评分法(VAS)评分和第1产程时间均显著少于对照组(P<0.01),结论:自控硬膜外麻醉具有较好的镇痛效果和较高的安全性,对于降低分娩时间,提高产妇舒适度具有积极意义,值得临床考虑。
Objective: To investigate the effect of epidural and controlled epidural analgesia in labor. Methods: 84 cases of mothers were divided into observation group and control group according to random number table method. In the first stage of labor in the control group given conventional epidural anesthesia, the observation group using controlled epidural anesthesia. Results: Both groups of mothers gave birth and were discharged smoothly. There was no significant difference in postpartum hemorrhage volume and neonatal Apgar score between the observation group and the control group (P> 0.05), but the visual analogue scale (VAS) score and the first stage of labor were significantly less than those of the control group (P <0.01) ), Conclusion: The self-controlled epidural anesthesia has better analgesic effect and higher safety, which has positive significance for reducing labor time and improving maternal comfort, which deserves clinical consideration.