心理支持疗法联合患者自控硬膜外镇痛对分娩的影响

目的:评估心理支持疗法(PPST)联合患者自控硬膜外镇痛(PCEA)用于分娩镇痛的效果。方法:120例产妇随机分为Ⅰ组(PPST组)、Ⅱ组(PCEA组)、Ⅲ组(PPST+PCEA组)和Ⅳ组(对照组),比较4组产妇焦虑状况、镇痛效果、新生儿情况以及产妇分娩情况。结果:Ⅰ、Ⅲ组产妇焦虑自评量表评分(SAS)于PPST后显著下降(P<0.05);Ⅰ组产妇镇痛效果优于Ⅳ组(P<0.05),但较Ⅱ组和Ⅲ组差(P<0.05),Ⅱ组与Ⅲ组镇痛效果相似,但Ⅲ组PCEA和催产素用量比Ⅱ组减少(P<0.05)。结论:PPST联合PCEA用于分娩镇痛,可强化镇痛并减少用药量。

Perioperative psychological supporting therapy combined with patient controlled epidural analgesia for labor analgesia

Objective： To observe the effect of perioperative psychological supporting therapy （PPST）in labor analgesia combined with patient controlled epidural analgesia（PCEA）. Methods：A total of 120 pregnant women were randomly assigned to four groups： group Ⅰ with PPST; group Ⅱ with PCEA; groupⅢ with PPST＋PCEA and group Ⅳ without treatment. The effect of analgesia, newborns Apgar scores, anxiety state, and delivery situation were observed and compared. Results. The degree of anxiety in group Ⅰand group Ⅲ were reduced after administration of PPST （P〈0.05）. The maternal analgesia in group Ⅰ was more effective than group IV, but less efficacious than group Ⅱ and group Ⅲ （P〈0.05）. With the similar analgesia between group Ⅱ and group Ⅲ, the dosage of PCEA and oxytocin decreased in group Ⅲ （P〈0.05）. Conclusions： Coadministration of PPST with PCEA could be beneficial for relieving labor analgesia and reducing the medicament.