| | | | | 脉冲波疗法用于分娩镇痛的临床效果分析 | | | 陶瑞雪;刘荃;苏燕;温洁 | | | 目的探讨脉冲波疗法用于分娩镇痛的临床效果以及对产妇和新生儿的影响。方法150例初产妇随机分成镇痛组和对照组,镇痛组在产程中使用GT-4A分娩镇痛工作站。观察两组产妇的镇痛效果、产程时间、分娩方式、产后出血及镇痛对母儿的影响,并将镇痛组与75例硬膜外自控镇痛的初产妇即PCEA组分娩方式及缩宫素使用率进行比较。结果镇痛组镇痛前后疼痛评分差异有非常显著性(P<0.01);镇痛组与对照组的活跃期、第一产程、第二产程时间比较差异有显著性(P<0.005);镇痛组与对照组比较剖宫产率差异有显著性(P<0.05),产程中缩宫素使用率差异无显著性(P>0.05);镇痛组与对照组比较产后出血及新生儿评分等差异无显著性(P>0.05)。镇痛组与PCEA组比较缩宫素使用率及阴道助产率有显著性差异(P<0.05),镇痛组明显低于PCEA组。结论GT-4A分娩镇痛工作站为非药物非创伤性镇痛,具有良好的镇痛效果,可缩短产程,对母儿无不良影响,提高产妇对分娩的依从性,能降低剖宫产率,操作简单,产妇易于接受,是一种较为理想的分娩镇痛方法。
【作者单位】：安徽省合肥市第一人民医院妇产科;安徽省合肥市第一人民医院妇产科;安徽省合肥市第一人民医院妇产科;安徽省合肥市第一人民医院妇产科
【关键词】：GT-4A分娩镇痛工作站;硬膜外自控镇痛;疼痛评分
【分类号】：R714.3
【DOI】：CNKI:SUN:FKLC.0.2007-06-009
【正文快照】：
产痛是自人类出现即伴随母亲的痛苦,减轻或消除产痛是近百年来医学领域不断探索的目标。从提高围生期质量而言,分娩镇痛势在必行。GT-4A分娩镇痛工作站是一种镇痛仪器。我院于2005年10月开始使用此镇痛工作站,现从镇痛效果及对母婴和产程的影响等方面分析其临床应用价值。资料 | | | | | |  推荐 下载CAJ全文  下载PDF全文 | | | CAJViewer7.0阅读器支持所有CNKI文件格式，AdobeReader仅支持PDF格式 | | | | Analysis of intrapartum analgesic effect of GT-4A pulse acting working station | | | TAO Ruixue;LIU Quan;SU Yan;et al.(Department of Obstetrics Gynaecology;The First People Hospital of Hefei;Hefei 230061;China) | | | Objective To study the analgesic effect of Pulse Acting on Intrapartum pain and its influence on mother and neonates.Methods 150 primiparous women were randomly divided into two groups. The women in test group received analgesia by using GT-4A pulse Acting Working Station; while the women in control group received no means of analgesia. The analgesic effect, duration of labor, the way of delivery, postpartum hemorrhage and its influence on mother and fetus were observed. The ratio of forceps delivery and the frequency of using oxytocin during labor were also compared between the test group and the PCEA group (75 primiparous women who received pain controlled epidural analgesia).Results The score of labor pains was significantly reduced after using GT-4A Pulse Actng Working Station in test group (P<0.01). The duration of active phase, first delivery process, second delivery process and total delivery process in the test group were significantly shorter than those in the control group (P<0.05). The ratio of cesarean section in the test group decreased compared with that in the control group (P<0.05). There was no difference of using oxytocin during labor was found between the test group and the control group (P>0.05). Postpartum hemorrhage and Apgar scores were all not statistically significant between the two groups (P>0.05).Compared with PCEA group, the test group had significant lower ratio of cesarean section and forceps delivery (P<0.05).Conclusions The GT-4A Pulse Acting Working Station is a non-drug and un-invasive analgesic method. It exhibited good analgesic effect to release the labor pain. It can short the labor time, has no adverse effect on mother and fetus, with good compliance and also decrease the ratio of cesarean section; moreover, it can be operated easily. So, it may be an ideal method for intrapartum analgesia.
【Keyword】：GT-4A Pulse Acting Working Station;the sorce of labor pains;patient controlled epidural analgesia(PCEA) |
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