摘要
目的:分析持续硬膜外阻滞镇痛在产妇分娩中的镇痛效果及对产妇泌乳的影响。方法:选择2019年1月-2020年1月本院收治持续硬膜外阻滞镇痛90例产妇,根据第二产程镇痛用法分为两组,对照组45例,宫缩规则后给予镇痛处理,于第二产程停止镇痛,采用生理盐水,研究组45例,行硬膜外阻滞镇痛直至产程结束,对两组镇痛效果及产妇泌乳进行比较。结果:两组产程与第一产程镇痛时间比较,差异无统计学意义(P>0.05);研究组会阴部修复时VAS(1.46±0.45)分,比对照组的(3.74±1.18)分低,产后2 h出血量(255.35±40.17)ml,比对照组少,开始泌乳时间(15.41±5.72)h,比对照组早,产后3 d母乳喂养(12.32±4.06)次,比对照组多,差异均有统计学意义(P<0.05);两组新生儿1 min Apgar评分及新生儿体重,差异无统计学意义(P>0.05);研究组镇痛满意度(92.53±5.19)分,比对照组高(P<0.05)。结论:持续硬膜外阻滞镇痛可减轻产妇的应激反应,促使开始泌乳时间缩短,能提升其镇痛满意度。
Objective:To analyze the analgesic effect of continuous epidural analgesia during delivery and the influence of maternal lactation.Method:From January 2019 to January 2020,90 cases of puerperae with continuous epidural analgesia were admitted to the hospital.They were divided into two groups according to the analgesic usage of the second stage of labor.In the control group,45 cases were given analgesia after regular contractions treatment,the analgesia was stopped in the second stage of labor,and normal saline was used.45 cases of the study group received epidural analgesia until the end of labor.The analgesic effects and lactation of the mothers were compared between the two groups.Result:There were no significant differences between the two groups in the first stage of labor and the analgesic time of the first stage of labor(P>0.05);the VAS score(1.46±0.45)points of the study group was lower than(3.74±1.18)points of the control group during perineal repair.The bleeding volume(255.35±40.17)ml in the 2 h postpartum was less than that in the control group,and the start of lactation time was(15.41±5.72)h,which was earlier than that in the control group.The breastfeeding 3 days postpartum(12.32±4.06)times was more than the control group,the differences were statistically significant(P<0.05).There were no significant differences in the 1 min Apgar score and weight of the newborns in two groups(P>0.05);the satisfaction degree of analgesia in the study group(92.53±5.19)points was higher than that of the control group(P<0.05).Conclusion:Continuous epidural analgesia can reduce the stress response of the parturient,shorten the time to start lactation,and improve the satisfaction of analgesia.
作者
邱玲玲
尹满群
李瑞平
曾淑衡
宋毅文
QIU Lingling;YIN Manqun;LI Ruiping;ZENG Shuheng;SONG Yiwen(Chang’an Hospital of Dongguan City,Dongguan 523560,China)
出处
《中外医学研究》
2021年第11期161-164,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
持续硬膜外阻滞镇痛
产妇分娩
镇痛效果
产妇泌乳
Continuous epidural analgesia
Maternal delivery
Analgesic effect
Maternal lactation
