Analysis of the application effect of compound lidocaine cream on puncture point of labor analgesia
10.3760/cma.j.cn121361-20200118-00020
- VernacularTitle:复方利多卡因乳膏在分娩镇痛穿刺点涂抹效果分析
- Author:
Jian LI
1
Author Information
1. 北京美中宜和妇儿医院麻醉科 100016
- From:
Clinical Medicine of China
2020;36(3):267-270
- CountryChina
- Language:Chinese
-
Abstract:
Objective:A prospective study was carried out on 400 pregnant, full-term, single live primiparas with intraspinal delivery analgesia(American Society of Anesthesiologists(ASA) class Ⅰ or Ⅱ). The patients were randomly divided into two groups by random number table method (200 cases in each group). The local application group of compound lidocaine cream was group A, and the placebo application group was the control group (group B). The compound lidocaine cream and placebo were evenly applied to the puncture point of labor analgesia 15 minutes before the operation of labor analgesia.According to the visual analog scale (VAS), the pain of labor analgesia operation and the lumbago within 72 hours after labor analgesia were evaluated.Results:There were 18 cases in group A and 19 cases in group B changeding to underwent cesarean section.There was no painless or mild pain during anesthesia in both groups.In group A, moderate pain was 100% (182/182) and no severe pain was found.In group B, moderate pain was 27.07% (49/181) and severe pain was 72.93%(132/181). Compared Comparison between the two groups, the degree of pain in group A was significantly reduced ( Z=208.575, P<0.001). The no, mild, moderate or severe lumbago and backache occurred 136, 27, 15 and 4 cases in group A and 89, 54, 27 and 11 cases in group B within 72 hours after labor analgesia, the difference was statistically significant ( Z=25.510, P<0.001). Conclusion:The application of compound lidocaine cream on the puncture point of labor analgesia is helpful to reduce the puncture pain during labor analgesia and the back pain after labor analgesia.
