连续硬膜外麻醉辅助导乐仪在无痛分娩中的应用
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摘要
目的:探讨连续硬膜外麻醉辅助导乐仪在无痛分娩中的应用。方法:选择初产妇120例,随机将其分为连续硬膜外麻醉组和连续硬膜外麻醉辅助导乐分娩组各60例,观察两组孕妇镇痛分娩效果、麻醉药用量、自控镇痛次数、产程时间和新生儿情况。结果:连续硬膜外麻醉辅助导乐分娩组镇痛效果明显优于连续硬膜外麻醉组,麻醉药用量及自控镇痛次数减少,第一产程,第二产程明显缩短。结论:连续硬膜外麻醉辅助导乐仪分娩效果显著,尤其对硬膜外麻醉阻滞不全的产妇,具有显著的临床意义。
Objective: To explore the application of continuous epidural anesthesia auxiliary guiding instrument in painless labor. Methods: 120 primiparas who meet the research conditions were choosed, 120 cases were randomly divided into continuous epidural anesthesia group and continuous epidural anesthesia auxiliary guide labor groups(60 cases each), and observed the effect of analgesia labor, drug dosage, self-control analgesia times, lasting time and the condition of the newborns. Results: The analgesic effect of continuous epidural anaesthesia auxiliary guided delivery group was obviously better than that of continuous epidural anesthesia group. Conclusion: The effect of continuous epidural anaesthesia auxiliary guided delivery group is significant, especially in the parturients with incomplete epidural anesthesia.
Objective: To explore the application of continuous epidural anesthesia auxiliary guiding instrument in painless labor. Methods: 120 primiparas who meet the research conditions were choosed, 120 cases were randomly divided into continuous epidural anesthesia group and continuous epidural anesthesia auxiliary guide labor groups(60 cases each), and observed the effect of analgesia labor, drug dosage, self-control analgesia times, lasting time and the condition of the newborns. Results: The analgesic effect of continuous epidural anaesthesia auxiliary guided delivery group was obviously better than that of continuous epidural anesthesia group. Conclusion: The effect of continuous epidural anaesthesia auxiliary guided delivery group is significant, especially in the parturients with incomplete epidural anesthesia.
引文
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[4] 赵亚琴, 孟超. 右美托咪定复合罗哌卡因用于硬膜外分娩镇痛对母婴的影响[J]. 南通大学学报:医学版, 2017,37(2):142-144.
[5] Hegde NR, Kaveri SV, Bayry J. Recent advances in the administration of vaccines for infectious diseases: microneedles as painless delivery devices for mass vaccination[J]. Drug Discov Today, 2011,16(23-24):1061-1068.
[6] Chor J, Lyman P, Ruth J, et al. Integrating doulas into first-trimester abortion care: physician, clinic staff, and doula experiences[J]. J Midwifery Womens Health, 2018,63(1):53-57.
[7] 王新艳,芮璨, 朱韫春. 阴道分娩中卡贝缩宫素和卡前列素氨丁三醇预防产后出血临床对比分析[J]. 南通大学学报:医学版, 2016,36(6):613-614,615.
[8] Kozhimannil KB, Hardeman RR. Coverage for doula services: How state medicaid programs can address concerns about maternity care costs and quality[J]. Birth, 2016,43(2):97-99.
[9] Hanley GE, Lee L. An economic model of professional doula support in labor in british columbia, Canada[J]. J Midwifery Womens Health, 2017,10(12)101-111.
[10] Darwin Z, Green J, McLeish J, et al. Evaluation of trained volunteer doula services for disadvantaged women in five areas in England: women's experiences[J]. Health Soc Care Community, 2017,25(2):466-477.
[11] Kozhimannil KB, Vogelsang CA, Hardeman RR, et al. Disrupting the pathways of social determinants of health: doula support during pregnancy and childbirth[J]. J Am Board Fam Med, 2016,29(3):308-317.
[12] Kozhimannil KB, Hardeman RR, Alarid-Escudero F, et al. Modeling the cost-effectiveness of doula care associated with reductions in preterm birth and cesarean delivery[J]. Birth, 2016,43(1):20-27.
[13] Strauss N, Giessler K, McAllister E. How doula care can advance the goals of the affordable care act: a snapshot from New York City[J]. J Perinat Educ, 2015,24(1):8-15.
[14] Munoz EG, Collins M. Establishing a volunteer doula program within a nurse-midwifery education program: a winning situation for both clients and students[J]. J Midwifery Womens Health, 2015,60(3):274-277.
[15] Chor J, Lyman P, Tusken M, et al. Women's experiences with doula support during first-trimester surgical abortion:a qualitative study[J]. Contraception, 2016,93(3):244-8.
[16] Cattelona G, Friesen CA, Hormuth LJ. The impact of a volunteer postpartum doula program on breast feeding success: A case study[J]. J Hum Lact, 2015,31(4):607-610.
[17] Thomas MP, Ammann G, Brazier E, et al. Doula services within a healthy start program:increasing access for an underserved population[J]. Matern Child Health J, 2017,21(Suppl 1):59-64.
[2] 胡灵群,李韵平,夏云, 等. 从“无痛分娩中国行”看中国的分娩镇痛[J]. 临床麻醉学杂志, 2013,(2):205-208.
[3] Chai ZY, Hu HM, Ren XL, et al. Applying lean six sigma methodology to reduce cesarean section rate[J]. J Eval Clin Pract, 2017,23(3):562-566.
[4] 赵亚琴, 孟超. 右美托咪定复合罗哌卡因用于硬膜外分娩镇痛对母婴的影响[J]. 南通大学学报:医学版, 2017,37(2):142-144.
[5] Hegde NR, Kaveri SV, Bayry J. Recent advances in the administration of vaccines for infectious diseases: microneedles as painless delivery devices for mass vaccination[J]. Drug Discov Today, 2011,16(23-24):1061-1068.
[6] Chor J, Lyman P, Ruth J, et al. Integrating doulas into first-trimester abortion care: physician, clinic staff, and doula experiences[J]. J Midwifery Womens Health, 2018,63(1):53-57.
[7] 王新艳,芮璨, 朱韫春. 阴道分娩中卡贝缩宫素和卡前列素氨丁三醇预防产后出血临床对比分析[J]. 南通大学学报:医学版, 2016,36(6):613-614,615.
[8] Kozhimannil KB, Hardeman RR. Coverage for doula services: How state medicaid programs can address concerns about maternity care costs and quality[J]. Birth, 2016,43(2):97-99.
[9] Hanley GE, Lee L. An economic model of professional doula support in labor in british columbia, Canada[J]. J Midwifery Womens Health, 2017,10(12)101-111.
[10] Darwin Z, Green J, McLeish J, et al. Evaluation of trained volunteer doula services for disadvantaged women in five areas in England: women's experiences[J]. Health Soc Care Community, 2017,25(2):466-477.
[11] Kozhimannil KB, Vogelsang CA, Hardeman RR, et al. Disrupting the pathways of social determinants of health: doula support during pregnancy and childbirth[J]. J Am Board Fam Med, 2016,29(3):308-317.
[12] Kozhimannil KB, Hardeman RR, Alarid-Escudero F, et al. Modeling the cost-effectiveness of doula care associated with reductions in preterm birth and cesarean delivery[J]. Birth, 2016,43(1):20-27.
[13] Strauss N, Giessler K, McAllister E. How doula care can advance the goals of the affordable care act: a snapshot from New York City[J]. J Perinat Educ, 2015,24(1):8-15.
[14] Munoz EG, Collins M. Establishing a volunteer doula program within a nurse-midwifery education program: a winning situation for both clients and students[J]. J Midwifery Womens Health, 2015,60(3):274-277.
[15] Chor J, Lyman P, Tusken M, et al. Women's experiences with doula support during first-trimester surgical abortion:a qualitative study[J]. Contraception, 2016,93(3):244-8.
[16] Cattelona G, Friesen CA, Hormuth LJ. The impact of a volunteer postpartum doula program on breast feeding success: A case study[J]. J Hum Lact, 2015,31(4):607-610.
[17] Thomas MP, Ammann G, Brazier E, et al. Doula services within a healthy start program:increasing access for an underserved population[J]. Matern Child Health J, 2017,21(Suppl 1):59-64.