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目的探讨针对进入产程产妇的产痛反应可能采取的镇痛措施以达到减轻产妇痛苦促进自然分娩。方法选择镇痛分娩且顺利分娩的产妇400例,其中笑气吸入镇痛联合会阴部神经阻滞麻醉镇痛200例(笑气组),自控硬膜外镇痛(PCEA)联合会阴部神经阻滞麻醉镇痛200例(硬膜外组),对两组产妇分娩镇痛效果进行分析。结果硬膜外组产妇达到止痛效果明显大于笑气组的止痛效果,新生儿生后Apgar评分均为8~10分,产妇及家属满意度显著提高。结论应用镇痛分娩时,应选择以最小的运动阻滞为产妇提供最充分的镇痛的基本目标。通过循证医疗护理模式充分了解临产产妇的不同产痛性质状况,为孕产妇提供有效的自控硬膜外镇痛方法,在体现人文关怀的同时促进了自然分娩、提高产科质量、保证母婴安全。
Objective To explore the analgesic measures that may be taken for the pain reaction of pregnant women entering the labor process so as to reduce the pain of the pregnant women and promote the natural childbirth. Methods 400 maternal women were selected for analgesia delivery and delivered successfully. Among them, 200 were analgesic analgesia combined with noxious analgesia and female genital nerve block (NSA), PCEA combined with neurologic resistance 200 cases of anesthesia anesthesia (epidural group), the analgesic effect of maternal labor was analyzed. Results The analgesic effect of the epidural maternal group was significantly greater than that of the laughing group. The Apgar scores of neonates after birth were both 8 and 10, and the satisfaction of maternal and family members was significantly improved. Conclusions When applying analgesia for childbirth, the basic goal of providing the fullest analgesia to mothers with minimal motor blockage should be chosen. Through evidence-based medical care model to fully understand the different nature of labor-producing women of labor status, provide effective self-control epidural analgesia for pregnant women, in the embodiment of human care and promote natural childbirth and improve the quality of obstetric and maternal and child safety .