摘要
目的探讨分娩镇痛期间使用智能化自控镇痛泵(Ai-PCA)对产妇平均动脉压(MAP)、心率(HR)及疼痛程度(VAS评分)的影响。方法方便选取2020年1月—2021年1月于该院产科分娩的初产妇120例作为研究对象,随机分为两组,对照组(n=65)采取硬膜外镇痛,观察组(n=55)采取Ai-PCA系统,比较两组不同时点的HR、MAP及VAS评分情况与妊娠、新生儿结局。结果两组不同时点的HR、MAP比较,差异无统计学意义(P>0.05);T1时点观察组的VAS评分为(2.0±0.4)分,T2时点为(4.0±0.3)分,T3时点为(5.3±0.4)分,均明显低于对照组,差异有统计学意义(t=13.139、13.470、5.625,P<0.05);两组新生儿Apgar评分比较,差异无统计学意义(P>0.05);观察组第一、第二及总产程均明显短于对照组,差异有统计学意义(t=2.171、4.964、5.808,P<0.05);观察组罗哌卡因、舒芬太尼用量分别为(82.3±3.2)mg、(24.3±1.8)μg,均明显少于对照组,差异有统计学意义(t=5.823、12.615,P<0.05),且观察组产妇满意度为(8.8±0.6)分,高于对照组,差异有统计学意义(t=5.842,P<0.05);观察组侧切率为7.3%,无中转剖宫产案例,不良反应发生率为3.6%,与对照组比较差异无统计学差异(P>0.05);观察组产后24 h下肢肌力评分为(1.2±0.2)分,明显低于对照组,差异有统计学意义(t=14.748,P<0.05)。结论在初产妇分娩期间使用Ai-PCA系统可有效镇痛,保障母婴双方安全。
Objective To explore the effect of using intelligent self-controlled analgesia pump(Ai-PCA)during labor analgesia on maternal mean arterial pressure(MAP),heart rate(HR)and pain degree(VAS score).Methods A total of 120 primiparas who gave birth in the obstetrics department of the hospital from January 2020 to January 2021 were conveniently selected as the research objects,and they were randomly divided into two groups.The control group(n=65)took epidural analgesia,and the observation group(n=55)adopted Ai-PCA system,to compare the HR,MAP,and VAS scores of the two groups at different time points with pregnancy and neonatal outcomes.Results There was no statistically significant difference in HR and MAP between the two groups at different time points(P>0.05);the VAS score of the observation group at T1 time point was(2.0±0.4)points,and the T2 time point was(4.0±0.3)points.The T3 time point was(5.3±0.4)points,which were significantly lower than those of the control group,and the difference was statistically significant(t=13.139,13.470,5.625,P<0.05);the comparison of Apgar scores between the two groups of newborns was not statistically significant(P>0.05);the first,second,and total labor of the observation group were significantly shorter than those of the control group,and the difference was statistically significant(t=2.171,4.964,5.808,P<0.05).The dosages of fentanyl were(82.3±3.2)mg and(24.3±1.8)μg,which were significantly less than those in the control group,and the difference was statistically significant(t=5.823,12.615,P<0.05).And the observation group's maternal satisfaction was(8.8±0.6)points,higher than the control group,the difference was statistically significant(t=5.842,P<0.05);the observation group's lateral cut rate was 7.3%,there was no transition to cesarean section,and the adverse reaction rate was 3.6%,compared with the control group,there was no statistical difference(P>0.05);the 24 h postpartum lower limb muscle strength score of the observation group was(1.2±0.2)points,which was significantly lower than the control group,and the difference was statistically significant(t=14.748,P<0.05).Conclusion The use of Ai-PCA system during delivery of primipara can effectively relieve pain and ensure the safety of both mother and child.
作者
苏松德
陈丽琴
翁上洋
辛焕贵
雷苏丹
陈丽芳
郭丽萍
SU Songde;CHEN Liqin;WENG Shangyang;XIN Huangui;LEI Sudan;CHEN Lifang;GUO Liping(Longyan People's Hospital of Fujian Province,Longyan,Fujian Province,364000 China;Minxi Vocational and Technical College of Fujian Province,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2021年第32期59-62,83,共5页
China & Foreign Medical Treatment
基金
信息化智能化无线镇痛系统在分娩镇痛中的效果(2019LYF5007)。
关键词
分娩镇痛
智能化自控镇痛泵
硬膜外穿刺
平均动脉压
心率
镇痛效果
妊娠结局
Labor analgesia
Intelligent automatic analgesia pump
Epidural puncture
Mean arterial pressure
Heart rate
Analgesic effect
Pregnancy outcome
