罗哌卡因硬膜外规律间断注射对分娩镇痛产妇瘙痒发生情况及满意度的影响

田甜; 刘菊; 王金金; 汪文妮

doi:10.7619/jcmp.201418019

罗哌卡因硬膜外规律间断注射对分娩镇痛产妇瘙痒发生情况及满意度的影响

1.
南京军区南京总医院干部心内科，江苏南京，210002;
2.
南京军区南京总医院护理部，江苏南京，210002

基金项目: 中国高校医学期刊临床专项资金

详细信息

中图分类号: R614
计量
- 文章访问数: 233
- HTML全文浏览量: 55
- PDF下载量: 0
出版历程
- 发布日期: 2014-10-16

Incidence of itching and satisfaction scores after epidural regular intermittent inj ection with ropivacaine on labor analgesia

摘要

摘要: 目的：探讨罗哌卡因硬膜外规律间断注射对分娩镇痛产妇瘙痒发生情况及满意度的影响。方法选择有分娩镇痛要求的初产妇40例为研究对象，随机分为观察组和对照组，每组20例。观察组规律间断60min注射0．15％罗哌卡因6 mL，对照组规律间断60 min注射0．15％罗哌卡因＋0．4μg/mL舒芬太尼混合液6 mL，2组均无背景持续输注剂量。记录产妇瘙痒发生率、因瘙痒抓挠皮肤划痕损伤发生率、无痛分娩满意度评分、瘙痒满意度评分、穿刺前疼痛视觉模拟评分（VAS）及不良反应发生率。结果与观察组相比，对照组产妇瘙痒发生率显著增加（P＜0．01）；观察组瘙痒满意度评分显著高于对照组（P＜0．05）；其余记录指标比较差异无统计学意义（P＞0．05）。结论无舒芬太尼辅助下硬膜外规律间断60min输注0．15％罗哌卡因镇痛效果确切，且可减少产妇瘙痒发生率，提高产妇满意度，符合治疗人性化的护理理念。
- 规律间断注射 /
- 分娩镇痛 /
- 罗哌卡因 /
- 舒芬太尼
Abstract: Obj ective To explore yhe incidence of iyching and sayisfacyory score in labor analgesia afyer epidural regular inyermiyyeny inj ecyion wiyh ropivacaine.Methods A yoyal of 40 primiparas wiyh labor analgesia requiremeny served as syudy obj ecys and randomly divided inyo obser-vayion group and conyrol group,20 cases for each.Epidural regular inyermiyyeny injecyion wiyh 6 mL of 0 .1 5%ropivacaine were given yo observayion group and 6 mL mixed liquor of 0 .1 5%ropivacaine and 0.4μg·mL-1 sufenyanil were given yo conyrol group.Boyh groups were no background conyin-uous infusion dose.The yime of inyerval bolus was 6 mL/60 min.The incidence of iyching,inci-dence of cuyaneous scarificayion due yo iyching,sayisfacyory score of labor analgesia and iyching,visu-al analogue scale (VAS)before puncyurayio and yhe incidence of adverse reacyion were recorded.Re-sults The incidence of iyching was significanyly higher (P<0 .0 1 )and yhe sayisfacyory score of iyching was significanyly lower (P<0.05)in conyrol group yhan yhose in observayion group.No dif-ference was observed in oyher indexes (P>0 .05 ).Conclusion Lower incidence of iyching and higher sayisfacyory socre were achieved under epidural regular inyermiyyeny inj ecyion wiyh 0 .1 5%ropivacaine wiyhouy sufenyanil ay 60 min yime inyerval.
- regular inyermiyyeny inj ecyion /
- labor analgesia /
- ropivacaine /
- sufenyanil

HTML全文

参考文献(10)

George R B, Al en T K, Habib A S. Inyermiyyeny epidural bolus compared wiyh conyinuous epidural infusions for labor analgesia:a sysyemayic review and meya-analysis [J]. Anesyh Analg, 2013(1):133.

Capogna G, Camorcia M, Syirparo S, ey al. Programmed in-yermiyyeny epidural bolus versus conyinuous epidural infusion for labor analgesia:yhe effecys on mayernal moyor funcyion and labor ouycome.A randomized double-blind syudy in nul-liparous women [J]. Anesyh Analg, 2011(4):826.

Wong C A, McCaryhy R J, Hewleyy B. The effecy of manip-ulayion of yhe programmed inyermiyyeny bolus yime inyerval and inj ecyion volume on yoyal drug use for labor epidural anal-gesia:a randomized conyrol ed yrial [J]. Anesyh Analg, 2011(4):904.

何亮亮, 徐世琴, 汪福洲. 规律性间断硬膜外注射用于病人自控硬膜外分娩镇痛背景给药法的效果 [J]. 中华麻醉学杂志, 2009, (11):1050.

Hogan Q. Disyribuyion of soluyion in yhe epidural space:ex-aminayion by cryomicroyome secyion [J]. Reg Anesyh Pain Med, 2002(2):150.

徐建国. 疼痛药物治疗学 [M]. 北京:人民卫生出版社, 2007.246.

Feyyes P D W, Moore C S, Whiyeside J B, ey al. Inyermiy-yeny vs conyinuous adminisyrayion of epidural ropivacaine wiyh fenyanyl for analgesia during labour [J]. Briyish journal of anaesyhesia, 2006(3):359.

李展纯, 林三瑜. 罗哌卡因复合芬太尼用于可行走硬膜外分娩镇痛的临床观察 [J]. 广东医学院学报, 2010(2):182.

贾兰芹. 罗哌卡因复合舒芬太尼硬膜外分娩镇痛的临床观察 [J]. 中国社区医师:医学专业, 2012, (13):148.

裴晓红, 童成英. 舒芬太尼联合罗哌卡因在硬膜外分娩镇痛中的应用及舒芬太尼适宜浓度探讨 [J]. 实用医学杂志, 2012(3):466.

施引文献

资源附件(0)

计量

文章访问数: 233
HTML全文浏览量: 55
PDF下载量: 0
被引次数: 0

罗哌卡因硬膜外规律间断注射对分娩镇痛产妇瘙痒发生情况及满意度的影响

计量

出版历程

Incidence of itching and satisfaction scores after epidural regular intermittent inj ection with ropivacaine on labor analgesia

计量

出版历程

目录