Spinocath导管鞘内连续给药分娩镇痛对母婴的影响

目的:观察Spinocath导管鞘内连续给药分娩镇痛对孕妇及胎儿的影响。方法:选择80例初产妇随机分为分娩镇痛组(A组)和对照组(B组)各40例,观察产妇的生命体征、产程时间、分娩方式、宫缩情况、缩宫素使用情况、产后出血、胎心监护、脐血流、羊水性状、新生儿Apgar评分、脐动脉血气分析。结果:两组在生命体征、产程时间、产后出血、胎心监护、脐血流、羊水性状、新生儿Apgar评分、脐动脉血气分析方面比较差异无统计学意义(P>0.05);A组剖宫产率较B组低,A组自然分娩率、出现宫缩乏力及缩宫素使用比B组高,差异有统计学意义(P<0.05)。结论:微量舒芬太尼Spinocath导管鞘内连续给药分娩镇痛对母婴无不良影响,但要注意预防出现子宫收缩乏力。

Effect of continuous spinal anesthesia with Spinocath catheter for labor analgesia on mothers and infants

Objective:To observe the effect of continuous spinal anesthesia with Spinocath catheter for labor analgesia on pregnant women and fetuses.Methods:Eighty primiparous women were selected and randomly divided into labor analgesia group(group A) and control group(group B),40 women in each group;the observation indexes included vital signs,stages of labor,delivery modes,uterine contraction,usage of oxytocin,postpartum hemorrhage,fetal heart rate monitoring,umbilical blood flow,characteristics of amniotic fluid,neonatal Apgar score,blood gas analysis of umbilical artery.Results:There was no statistically significant difference in vital signs,stages of labor,postpartum hemorrhage,fetal heart rate monitoring,umbilical blood flow,characteristics of amniotic fluid,neonatal Apgar score,blood gas analysis of umbilical artery between the two groups(P>0.05).the cesarean section rate in group A was lower than that in group B;the rate of spontaneous delivery,the incidence of uterine inertia,and utilization rate of oxytocin in group A were statistically significantly higher than those in group B(P<0.05).Conclusion:Continuous spinal anesthesia of micro-sufentanil with Spinocath catheter has no adverse impact on mothers and infants used for labor analgesia,but prevention of uterine atopy should be paid more attention to.