心理支持疗法联合患者自控硬膜外镇痛对分娩镇痛的影响

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PPST组?PCEA组?联合组和对照组4组?分别记录4组产妇镇痛效果?新生儿指标?焦虑度?产程?分娩方式?产后出血量?催产素用量等指标?结果:PPST组与联合组产妇焦虑自评量表评分(SAS)于PPST后显著下降(P < 0.05)?PPST组产妇的镇痛效果优于对照组(P < 0.05),但差于PCEA组和联合组(P < 0.05)?联合组与PCEA组镇痛效果相似,但联合组PCEA用量少于PCEA组(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 effects of perioperative psychological supporting therapy(PPST)for labor analgesia combined with patient controlled epidural analgesia(PCEA). Methods:120 parturients were randomly assigned to the PPST group,PCEA group,combined group or control group.The variables of analgesia,neonatal outcome,anxiety state,mode of delivery,delivery procedure,postpartum hemorrhage and oxytocin use were assessed. Results:The degree of anxiety in PPST group and combined group were relieved after PPST(P < 0.05). PPST group had a more effective analgesia than control group,but less efficacious than PCEA group and combined group(P < 0.05).With the similar analgesia between PCEA group and combined group,Combined group had a less dosage of PCEA(P < 0.05). Conclusion:Coadministration of PPST with PCEA could be beneficial for relieving labor analgesia and reducing the medication.