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目的:探讨在分娩中使用Spinocath导管鞘内注药的分娩镇痛法对产妇镇痛效果、分娩方式及产妇产后不良反应的影响。方法:选择在南宁市妇幼保健院住院、年龄22～30岁,无椎管内阻滞禁忌证,无明显产科病理因素,足月头位单胎拟行阴道分娩的初产妇54例,对采用Spinocath导管鞘内注药分娩镇痛的54例产妇的术后情况进行随访。结果:失访5例,50例产妇中对镇痛效果满意46例,基本满意3例,不满意1例。总满意率达98.00%(49/50)。术后不良反应包括:轻度头痛6例,占11.11%(6/54),给予天麻素治疗1～3天后好转;腰胀痛4例,占7.41%(4/54);穿刺针眼疼痛1例,占1.85%(1/54)。无尿潴留、皮肤瘙痒、恶心、呕吐等反应。出院后3例产妇诉偶有腰胀,但不影响日常活动及工作。结论:产程中使用Spinocath导管鞘内注药分娩镇痛效果明显,术后产妇不良反应少,无不良远期并发症,值得推广应用。
Objective: To investigate the effects of labor analgesia with Spinocath intrahepatic intrathecal injection on the analgesic effect, mode of delivery and maternal postpartum adverse reactions in labor. Methods: 54 cases of primiparas who were hospitalized in Nanning Maternal and Child Health Hospital, aged 22 to 30 years old, had no contraindications of vertebral canal blockage, no obvious obstetric pathological factors, Spinocath catheter intrathecal injection labor analgesia of 54 cases of postpartum women were followed up. Results: In 5 cases lost to follow-up, 50 cases of mothers were satisfied with analgesic effect in 46 cases, basically satisfied in 3 cases and unsatisfied in 1 case. The total satisfaction rate was 98.00% (49/50). Postoperative adverse reactions included mild headache in 6 cases (11.11%, 6/54), improvement in 1 to 3 days after gastrodin treatment, 4 cases of low back pain (7.41%, 4/54), acupuncture needle pain 1 Cases, accounting for 1.85% (1/54). No urine retention, skin itching, nausea, vomiting and other reactions. After discharge from the hospital, 3 cases of mothers complained of bloating but did not affect daily activities and work. Conclusion: Spinocath intrahepatic intubation and intrathecal injection have obvious analgesic effect during labor, fewer postoperative maternal adverse reactions, no adverse long-term complications, which are worth popularizing and applying.