【摘要】：目的比較硬膜外間歇脈沖輸注與持續(xù)背景量輸注兩種模式用于分娩鎮(zhèn)痛,對(duì)鎮(zhèn)痛效果、分娩方式及新生兒結(jié)局的影響是否有所不同。方法本研究是一項(xiàng)回顧性隊(duì)列研究。按照鎮(zhèn)痛方案分成兩組,即持續(xù)背景輸注聯(lián)合患者自控給藥組(CEI+PCEA組,n=245)和硬膜外間歇脈沖輸注聯(lián)合患者自控給藥組(IEB+PCEA組,n=258)。收集相關(guān)資料,分析不同鎮(zhèn)痛方案對(duì)圍產(chǎn)期事件的影響。結(jié)果IEB+PCEA組每小時(shí)羅哌卡因用藥量及舒芬太尼用藥量明顯少于CEI+PCEA組,自控按壓次數(shù)和有效給藥次數(shù)明顯少于CEI+PCEA組。兩組在產(chǎn)婦的最終分娩方式和新生兒出生后低Apgar評(píng)分比例方面差異均無統(tǒng)計(jì)學(xué)意義。結(jié)論與持續(xù)背景輸注模式相比,硬膜外間歇脈沖輸注模式鎮(zhèn)痛效果更好,且對(duì)最終分娩方式及新生兒結(jié)局無不良影響。
[Abstract]:Objective to compare the effects of epidural intermittent pulse infusion and continuous background infusion on labor analgesia. Methods this study is a retrospective cohort study. The patients were divided into two groups according to the analgesic regimen: continuous background infusion combined with patient-controlled administration group (CEI PCEA group) and epidural intermittent pulse infusion combined with patient-controlled infusion group (IEB PCEA group, n = 258). To collect relevant data and analyze the influence of different analgesic schemes on perinatal events. Results the dosage of ropivacaine and sufentanil per hour in IEB PCEA group was significantly less than that in CEI PCEA group. There was no significant difference in the final delivery style and the proportion of low Apgar score between the two groups. Conclusion compared with the continuous background infusion mode, the epidural intermittent pulse infusion mode has better analgesic effect, and has no adverse effect on the final delivery mode and neonatal outcome.
【作者單位】： 北京大學(xué)第一醫(yī)院麻醉科;
【分類號(hào)】：R714.3

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