摘要
目的:分析目标导向液体治疗在预防硬膜外分娩镇痛产时发热中的作用。方法:选择赣州市妇幼保健院2021年7月-2022年6月收治的60例行硬膜外分娩镇痛的产妇,随机分为Ⅰ组和Ⅱ组,各30例。分娩镇痛期间,Ⅰ组采用常规液体治疗,Ⅱ组采用目标导向液体治疗。对比两组产科指标、分娩结局、新生儿Apgar评分、镇痛药物用量、鼓膜温度、疼痛评分及产时发热发生率。结果:两组产程时间、产后出血量、分娩结局、新生儿1、5 min时Apgar评分、各时间点疼痛评分比较,差异均无统计学意义(P>0.05);Ⅱ组镇痛药用量少于Ⅰ组(P<0.05);Ⅱ组镇痛4 h、分娩时鼓膜温度均低于Ⅰ组(P<0.05);两组产时发热发生率比较,Ⅱ组低于Ⅰ组(P<0.05)。结论:目标导向液体治疗在预防硬膜外分娩镇痛产时发热中作用理想,可减少产时发热现象的发生及分娩镇痛药物的使用,值得临床推广。
Objective:To analyze the effect of goal-directed fluid therapy in the prevention of intrapartum fever during epidural labor analgesia.Method:A total of 60 parturients who underwent epidural labor analgesia in Ganzhou Women and Children’s Health Care Hospital from July 2021 to June 2022 were randomly divided intoⅠgroup andⅡgroup,with 30 cases in each group.During the epidural labor analgesia,Ⅰgroup was treated with conventional liquid therapy,andⅡgroup was treated with goal-directed fluid therapy.The obstetrical indexes,delivery outcome,Apgar scores of newborn,analgesic dosage,tympanic membrane temperature,pain scores and the incidence of intrapartum fever were compared between the two groups.Result:There were no significant differences in the duration of labor,postpartum hemorrhage,delivery outcome,Apgar scores of newborn at 1 and 5 min and pain scores at each time point between the two groups(P>0.05).The analgesic dosage in theⅡgroup was less than that in theⅠgroup(P<0.05).4 h after analgesia and at delivery,the tympanic membrane temperature in theⅡgroup were lower than those in theⅠgroup(P<0.05).The incidence of intrapartum fever in theⅡgroup was lower than that in theⅠgroup(P<0.05).Conclusion:Goal-directed fluid therapy plays an ideal role in the prevention of intrapartum fever during epidural labor analgesia,which can reduce the occurrence of intrapartum fever and the use of labor analgesia drugs,and is worthy of clinical promotion.
作者
刘荣
毕生龙
李帆
袁经国
袁显平
刘桂荣
肖文萍
LIU Rong;BI Shenglong;LI Fan;YUAN Jingguo;YUAN Xianping;LIU Guirong;XIAO Wenping(Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2023年第6期7-10,共4页
Medical Innovation of China
基金
江西省卫生健康委科技计划项目(202312030)。
关键词
分娩镇痛
目标导向液体治疗
产时发热
疼痛
Labor analgesia
Goal-directed fluid therapy
Intrapartum fever
Pain
作者简介
通信作者:刘荣。
