椎管内阻滞应用于分娩镇痛的临床观察
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摘要
目的探究和分析椎管内阻滞应用于分娩镇痛的临床效果。方法选取2015年12月1日-2017年12月30日的14000例产妇作为本次研究对象,随机分为两组,各7000例的对照组和观察组;对照组产妇在不镇痛下自然分娩,观察组产妇在椎管内阻滞麻醉镇痛后分娩,观察两组产妇的疼痛程度、产程时间、产后出血量,对比两组产妇的软产道损伤和新生儿窒息情况。结果观察组患者的疼痛程度显著低于对照组,同时观察组产妇的产程时间和产后出血量均显著少于对照组,P<0.05;观察组产妇的软产道损伤和新生儿窒息发生率分别为3.3%和5%,均显著低于对照组的18.89%和10%,P<0.05。结论将椎管内阻滞应用到分娩镇痛中,能够显著减轻患者的疼痛程度,缩短患者的产程时间,有效减少患者的产后出血量和产妇软产道损伤以及新生儿窒息,具有显著的临床推广意义和价值。
Objective To explore and analyze the clinical effect of spinal canal block application in labor analgesia. Methods 14000 women from December 1, 2015 to December 30, 2017 were selected as the subjects of this study, and the 14, 000 women were randomly divided into two groups of 7000 patients and two groups of observation groups. Control group puerpera natural birth under no analgesia, observation group of women in the spinal canal block anesthesia analgesia after childbirth, observe two groups of maternal pain degree, labor time,postpartum blood loss, compared two groups of maternal soft birth canal injury and neonatal asphyxia. Results The pain level of the group was significantly lower than that in the control group, and the duration and postpartum hemorrhage of the group were significantly less than the control group, P<0.05. The incidence of soft birth defects and neonatal asphyxia in the observation group were 3.3% and 5% respectively, both significantly lower than the control group 18.89% and 10%, P<0.05. Conclusions To apply block intra-spinal canal to labor analgesia,patients could significantly reduce the degree of pain, shorten the patient's labor time, effectively reduce the patients with postpartum blood loss and maternal soft birth canal damage and neonatal asphyxia, and has significant clinical significance and value.
Objective To explore and analyze the clinical effect of spinal canal block application in labor analgesia. Methods 14000 women from December 1, 2015 to December 30, 2017 were selected as the subjects of this study, and the 14, 000 women were randomly divided into two groups of 7000 patients and two groups of observation groups. Control group puerpera natural birth under no analgesia, observation group of women in the spinal canal block anesthesia analgesia after childbirth, observe two groups of maternal pain degree, labor time,postpartum blood loss, compared two groups of maternal soft birth canal injury and neonatal asphyxia. Results The pain level of the group was significantly lower than that in the control group, and the duration and postpartum hemorrhage of the group were significantly less than the control group, P<0.05. The incidence of soft birth defects and neonatal asphyxia in the observation group were 3.3% and 5% respectively, both significantly lower than the control group 18.89% and 10%, P<0.05. Conclusions To apply block intra-spinal canal to labor analgesia,patients could significantly reduce the degree of pain, shorten the patient's labor time, effectively reduce the patients with postpartum blood loss and maternal soft birth canal damage and neonatal asphyxia, and has significant clinical significance and value.
引文
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[7]符白玲,李煜,胡顺平.增加静脉输液预防椎管内阻滞分娩镇痛产时发热的效果观察[J].医学研究杂志,2014,43(8):133-136.
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[9]CM Matteo,KS R,P Scicchitano.Dolichocarotids:echocolor Doppler evaluation and clinical role[J].Journal of Atherosclerosis&Thrombosis,2014,21(1):56-63.
[10]M Khooshide,T Mirzarahimi,GA Akbari.The Impact of Physiologic and Non-Physiologic Delivery on the Mother and Neonate Outcomes;A Comparative Study on the Primi Gravid Mothers[J].Journal of Family&Reproductive Health,2015,9(1):13-18.
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[13]高娜,耿翠霞,白晓蔚.潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后的影响[J].临床医药文献电子杂志,2017,4(34):39,42.
[14]幸吉娟,劳成毅,朱云峰.椎管内阻滞分娩镇痛对100例产妇产后腰痛的影响[J].检验医学与临床,2014,11(1):11-12.
[15]刘琰,徐一鸣,吴彩婷.221例分娩镇痛3种不同方式的临床对比研究[J].中国妇幼保健,2014,29(20):3239-3241.
[16]幸吉娟,熊晓明,覃廷华.椎管内阻滞分娩镇痛对分娩及盆底影响的探讨[J].中国妇幼保健,2014,29(17):2762-2764.
[17]方楚贞,郭水德,李素群.椎管内阻滞分娩镇痛在改善产妇分娩结局和新生儿结局的应用价值[J].现代诊断与治疗,2014,25(22):5063-5065.
[18]高峰,王春燕,郑海珍.基于低浓度局麻药探讨两种不同椎管内阻滞在潜伏期分娩镇痛中的应用价值[J].临床合理用药杂志,2015,8(31):78-79.
[19]张燕.椎管内不同诱导方式下应用于分娩镇痛的临床观察[J].临床医药文献电子杂志,2017,4(27):5193-5194.
[20]张相明.椎管内阻滞联合导乐仪应用于分娩镇痛的疗效观察[J].当代医学,2016,22(13):19-20.
[2]幸吉娟,熊晓明,刘秀芬.椎管内阻滞分娩镇痛对女性盆底功能的影响[J].中国妇幼保健,2014,29(34):5727-5729.
[3]孙德月.潜伏期分娩镇痛对孕妇妊娠结局和新生儿预后影响研究[J].中国妇幼保健,2015,30(30):5295-5296.
[4]杨絮,叶华,吕国义.椎管内分娩镇痛对非绝对医学指征剖宫产率及产钳助产率的影响[J].中国妇幼保健,2014,29(11):1789-1791.
[5]蒋永,谭忆,张世勇.潜伏期行椎管内阻滞麻醉分娩镇痛对妊娠结局与新生儿预后的影响[J].临床医学研究与实践,2016,1(3):40.
[6]贾利红,王文凯,陈艳丽.潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后的影响[J].中国医学创新,2015,12(3):42-44.
[7]符白玲,李煜,胡顺平.增加静脉输液预防椎管内阻滞分娩镇痛产时发热的效果观察[J].医学研究杂志,2014,43(8):133-136.
[8]O Luengo,V Cardona.Component resolved diagnosis:when should it be used[J].Clinical&Translational Allergy,2014,4(1):28.
[9]CM Matteo,KS R,P Scicchitano.Dolichocarotids:echocolor Doppler evaluation and clinical role[J].Journal of Atherosclerosis&Thrombosis,2014,21(1):56-63.
[10]M Khooshide,T Mirzarahimi,GA Akbari.The Impact of Physiologic and Non-Physiologic Delivery on the Mother and Neonate Outcomes;A Comparative Study on the Primi Gravid Mothers[J].Journal of Family&Reproductive Health,2015,9(1):13-18.
[11]L Roosevelt,JM Bailey,LK Low.Retrospective Review of Nurse-Midwifery Care at a Large University Health System[J].Journal of Perinatal&Neonatal Nursing,2015,29(4):296.
[12]E Rio,D Kidgell,C Purdam.Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy[J].British Journal of Sports Medicine,2015,49(19):1277.
[13]高娜,耿翠霞,白晓蔚.潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇妊娠结局与新生儿预后的影响[J].临床医药文献电子杂志,2017,4(34):39,42.
[14]幸吉娟,劳成毅,朱云峰.椎管内阻滞分娩镇痛对100例产妇产后腰痛的影响[J].检验医学与临床,2014,11(1):11-12.
[15]刘琰,徐一鸣,吴彩婷.221例分娩镇痛3种不同方式的临床对比研究[J].中国妇幼保健,2014,29(20):3239-3241.
[16]幸吉娟,熊晓明,覃廷华.椎管内阻滞分娩镇痛对分娩及盆底影响的探讨[J].中国妇幼保健,2014,29(17):2762-2764.
[17]方楚贞,郭水德,李素群.椎管内阻滞分娩镇痛在改善产妇分娩结局和新生儿结局的应用价值[J].现代诊断与治疗,2014,25(22):5063-5065.
[18]高峰,王春燕,郑海珍.基于低浓度局麻药探讨两种不同椎管内阻滞在潜伏期分娩镇痛中的应用价值[J].临床合理用药杂志,2015,8(31):78-79.
[19]张燕.椎管内不同诱导方式下应用于分娩镇痛的临床观察[J].临床医药文献电子杂志,2017,4(27):5193-5194.
[20]张相明.椎管内阻滞联合导乐仪应用于分娩镇痛的疗效观察[J].当代医学,2016,22(13):19-20.