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自控硬膜外镇痛用于分娩镇痛的临床研究
引用本文:邓蓉,凌莉,姚雪,雷福珍,付江勇,孙亚斌.自控硬膜外镇痛用于分娩镇痛的临床研究[J].临床医学工程,2011,18(3):391-392.
作者姓名:邓蓉  凌莉  姚雪  雷福珍  付江勇  孙亚斌
作者单位:邓蓉 (江西省萍乡市萍矿总医院,妇产科,江西,萍乡,337000) ; 凌莉 (江西省萍乡市萍矿总医院,妇产科,江西,萍乡,337000) ; 姚雪 (江西省萍乡市萍矿总医院,妇产科,江西,萍乡,337000) ; 雷福珍 (江西省萍乡市萍矿总医院,妇产科,江西,萍乡,337000) ; 付江勇 (江西省萍乡市萍矿总医院,麻醉科,江西,萍乡,337000) ; 孙亚斌 (江西省萍乡市萍矿总医院,麻醉科,江西,萍乡,337000) ;
摘    要:目的探讨全程病人自控硬膜外镇痛(PCEA)用于分娩镇痛以及对产程及分娩结局的影响。方法产妇分为镇痛组和对照组,每组120例,镇痛组产妇进入活跃期后采用病人自控硬膜外镇痛,对照组不采用镇痛分娩。结果应用病人自控硬膜外镇痛(PCEA)的产妇的血压、脉搏、呼吸、产后出血,新生儿Apgar's评分与对照组无显著性差异。镇痛效果确切,还可一定程度上减少剖宫产率。结论全程PCEA用于分娩镇痛效果满意,对母婴均无明显不良影响,安全可靠。

关 键 词:病人自控硬膜外镇痛  分娩镇痛

The Clinical Study of Throughout Patient-Controlled Epidural Analgesia(PCEA)on Labor Analgesia
DENG Rong,LING Li,YAO Xue,LEI Fuzhen,FU Jiangrong,SUN Yabin.The Clinical Study of Throughout Patient-Controlled Epidural Analgesia(PCEA)on Labor Analgesia[J].Medical and Health Care Instruments,2011,18(3):391-392.
Authors:DENG Rong  LING Li  YAO Xue  LEI Fuzhen  FU Jiangrong  SUN Yabin
Institution:g 2 ( 1Department of Obstetrics and Gynecology,Pingxiang Bureau of Mines General Hospital,Pingxiang 337000,China;2Department of Anesthesiology,Pingxiang Bureau of Mines General Hospital,Pingxiang 337000,China)
Abstract:Objective To explore throughout patient-controlled epidural analgesia(PCEA) on labor analgesia,and the impact of throughout PCEA on labor progress and delivery mode.Methods Parturients were divided into analgesia group and control group with 120 cases in each group.The analgesia group received throughout PECA,the control group did not use labor analgesia.The analgesia group used throughout PCEA when their cerical dilation was 3 cm.Rusult The blood pressure,pulse rate,breathing,postpartum hemorrhage,neonate Apgar's scores had no significant diference between the two groups.The outcome was significant and certain,and the rate of cesarean section could be reduced.Conclusion Patient-controlled epidural analgesia (PCEA) is an effective technique for labor analgesia.It is safe for both mothers and neonates,and can be used on large scale for labor analgesia.
Keywords:Patient-controlled epidural analgesia (PCEA)  Labor analgesia
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