Clinical analysis of epidural preset tube in multipara labor analgesia
- VernacularTitle:硬膜外预置管用于经产妇分娩镇痛临床分析
- Author:
Yanfeng ZHAO
1
;
Bin LI
;
Yufang OUYANG
Author Information
1. 江西省九江市妇幼保健院 九江市儿童医院麻醉科
- Keywords:
Preset tube;
Multipara;
Labor analgesia;
Epidural
- From:
China Modern Doctor
2015;53(35):113-116
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the validity, timeliness and security of epidural preset tube to block multipara la-bor analgesia, and to improve maternal labor analgesia rates and quality. Methods A total of 270 cases of mature ma-ternal in our hospital from May 2013 to October 2014 were chosen for the study, according to the study requirements, and they were divided into three groups. The observation group(group A) received PCEA labor analgesia method, and the control group1 (group B) received continuous epidural labor analgesia method, and the control group 2 (group C) did not undergo analgesia. Maternal vital signs and fetal heart rate in the three groups were observed, and the first stage of labor, the second stage of labor and the third stage of labor, pain visual analog scale (VAS score), Bromage score, mode of delivery, oxytocin usage rate, newborn Apgar score, maternal hemorrhage amount and the incidence of perineal lac-eration were recorded. Results There were not statistically significant differences in comparing general information of the 3 groups such as age, height, weight, gestational age(P>0.05). The differences in stage of labor and the incidence of perineal laceration in the three groups were statistically significant (P<0.05). The differences were not statistically significant in comparing oxytocin usage rate, cesarean section rate, neonatal asphyxia score, postpartum hemorrhage amount of the observation group and the control group 1 (P>0.05). The differences were statistically significant in com-paring oxytocin usage rate, cesarean section rate, neonatal asphyxia score and postpartum hemorrhage amount in the observation group and the control group 2 (P<0.05). Conclusion Continuous epidural preset tube method to block mater-nal labor analgesia is safe and effective, can improve the timeliness and effectiveness of obstetric complications anes-thesia process, reduce the incidence of perineal laceration, and increase maternity delivery security.
